Dental
Sunset Community Health Center INC
Sunset Community Health Center INC was paid $82.35M by Medicaid between Jan 2018 and Dec 2024, across 192 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoSUNSET COMMUNITY HEALTH CENTER INC
YUMA, AZ 85364
YUMA, AZ 85364
33aNPI1063433720assigned 07/21/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$82.35M
24GClaims1,439,576
24DCodes billed192
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#1 of 530
Median peer was paid$920.17
This provider vs. median89,491×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ROGERS, DAVID controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 253,335 | $11.71M | |
| 2019 | 264,849 | $13.30M | |
| 2020 | 105,813 | $9.25M | |
| 2021 | 185,584 | $11.43M | |
| 2022 | 221,883 | $12.26M | |
| 2023 | 217,401 | $12.56M | |
| 2024incomplete | 190,711 | $11.83M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 375,240 | 303,674 | $81.91M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 179,283 | 143,242 | $99K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 73 | 64 | $52K |
| 59514 | <1% | 58 | 52 | $50K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 80,918 | 68,734 | $47K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 4,617 | 4,542 | $41K |
| 99219 | <1% | 275 | 193 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 59,854 | 52,630 | $11K |
| 99243 | <1% | 1,276 | 894 | $11K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 8,917 | 7,674 | $11K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 22,558 | 17,222 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 10,257 | 9,172 | $8K |
180 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 9,739 | $7K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 399 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 4,926 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 7,562 | $6K |
| 0012A | <1% | 2,258 | $6K | |
| 92551 | <1% | 15,129 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 25,627 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 5,146 | $4K |
| 0011A | <1% | 2,411 | $4K | |
| 90715 | <1% | 6,840 | $3K | |
| T1016 | Case management, each 15 minutes | <1% | 162 | $3K |
| 99381 | <1% | 1,465 | $3K | |
| 90670 | <1% | 7,226 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 3,844 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15,092 | $2K |
| 99490 | Ccm add 20min | <1% | 316 | $2K |
| 83037 | <1% | 26,820 | $2K | |
| 90714 | <1% | 3,968 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,924 | $1K |
| 0064A | <1% | 2,290 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,377 | $1K |
| 99001 | <1% | 1,390 | $1K | |
| 90474 | <1% | 5,409 | $1K | |
| 0071A | <1% | 458 | $913.00 | |
| 81002 | <1% | 21,818 | $791.96 | |
| 83655 | <1% | 6,408 | $753.86 | |
| 11981 | <1% | 136 | $750.30 | |
| 0072A | <1% | 382 | $664.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 4,021 | $541.67 |
| 85018 | <1% | 19,399 | $506.55 | |
| 99173 | <1% | 15,026 | $474.60 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,260 | $441.76 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,009 | $427.21 |
| 90688 | <1% | 13,437 | $397.33 | |
| 3074F | <1% | 18,077 | $283.74 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,023 | $272.68 |
| 99385 | <1% | 573 | $194.12 | |
| 0112A | <1% | 46 | $166.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,228 | $143.16 |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 3,733 | $142.63 |
| 90621 | <1% | 938 | $112.04 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 854 | $99.88 |
| 0134A | <1% | 1,747 | $83.00 | |
| 0054A | <1% | 87 | $83.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 128 | $65.62 |
| 90662 | <1% | 792 | $65.49 | |
| 90686 | <1% | 11,610 | $63.65 | |
| 99000 | <1% | 31 | $51.30 | |
| 93320 | <1% | 12 | $47.49 | |
| G0008 | Administration of influenza virus vaccine | <1% | 3,033 | $45.33 |
| 96127 | <1% | 4,237 | $24.29 | |
| 93325 | <1% | 12 | $22.32 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 766 | $13.16 |
| 82947 | <1% | 102 | $11.60 | |
| 90734 | <1% | 2,444 | $9.98 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 225 | $7.74 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 148 | $5.71 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 98 | $0.96 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 488 | $0.49 |
| 90697 | <1% | 930 | $0.29 | |
| 90680 | <1% | 3,343 | $0.29 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 866 | $0.08 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 167 | $0.04 |
| 1159F | <1% | 81,295 | $0.03 | |
| 1036F | <1% | 53,775 | $0.02 | |
| 1220F | <1% | 31,327 | $0.01 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 124 | $0.01 |
| 1125F | 0% | 13,909 | $0.00 | |
| 90723 | 0% | 4,318 | $0.00 | |
| 3044F | 0% | 5,361 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 4,630 | $0.00 |
| 2001F | 0% | 17,589 | $0.00 | |
| 91307 | 0% | 292 | $0.00 | |
| 92558 | 0% | 3,545 | $0.00 | |
| 3080F | 0% | 1,044 | $0.00 | |
| 1126F | 0% | 29,850 | $0.00 | |
| 3008F | 0% | 17,612 | $0.00 | |
| 90647 | 0% | 4,134 | $0.00 | |
| 90716 | 0% | 725 | $0.00 | |
| 3079F | 0% | 7,668 | $0.00 | |
| 90651 | 0% | 4,056 | $0.00 | |
| 3075F | 0% | 4,630 | $0.00 | |
| 91301 | 0% | 3,549 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 1,347 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 1,430 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 3,229 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 1,867 | $0.00 |
| 1111F | 0% | 401 | $0.00 | |
| 3052F | 0% | 241 | $0.00 | |
| 1101F | 0% | 163 | $0.00 | |
| 99383 | 0% | 85 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 683 | $0.00 |
| 90696 | 0% | 474 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 207 | $0.00 |
| 90480 | 0% | 1,483 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 2,923 | $0.00 |
| D0603 | 0% | 2,671 | $0.00 | |
| 90732 | 0% | 55 | $0.00 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 193 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 108 | $0.00 |
| 96156 | 0% | 260 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 458 | $0.00 |
| D0601 | 0% | 106 | $0.00 | |
| 90620 | 0% | 284 | $0.00 | |
| 0074A | 0% | 94 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 337 | $0.00 |
| 90656 | 0% | 780 | $0.00 | |
| D0240 | 0% | 31 | $0.00 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 372 | $0.00 |
| 20610 | 0% | 13 | $0.00 | |
| 91306 | 0% | 384 | $0.00 | |
| 87428 | 0% | 47 | $0.00 | |
| 90677 | 0% | 140 | $0.00 | |
| 0111A | 0% | 114 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 29 | $0.00 |
| 0154A | 0% | 13 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 150 | $0.00 |
| 99384 | 0% | 14 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 66 | $0.00 |
| 93000 | 0% | 65 | $0.00 | |
| 99386 | 0% | 27 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 35 | $0.00 |
| 96161 | 0% | 28 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 30 | $0.00 |
| 86580 | 0% | 38 | $0.00 | |
| 58300 | 0% | 12 | $0.00 | |
| 0001A | 0% | 24 | $0.00 | |
| 3046F | 0% | 2,601 | $0.00 | |
| 90710 | 0% | 569 | $0.00 | |
| 3077F | 0% | 5,123 | $0.00 | |
| 90681 | 0% | 476 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 4,501 | $0.00 |
| 3078F | 0% | 21,978 | $0.00 | |
| H0031 | Mental health assessment, by non-physician | 0% | 407 | $0.00 |
| 1158F | 0% | 4,035 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 537 | $0.00 |
| 99177 | 0% | 6,840 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 3,634 | $0.00 |
| 91312 | 0% | 77 | $0.00 | |
| 90633 | 0% | 3,166 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 722 | $0.00 |
| D9993 | 0% | 779 | $0.00 | |
| 90671 | 0% | 525 | $0.00 | |
| D0270 | 0% | 860 | $0.00 | |
| 1003F | 0% | 7,334 | $0.00 | |
| D0190 | 0% | 894 | $0.00 | |
| D1354 | 0% | 1,985 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 60 | $0.00 |
| 3045F | 0% | 1,662 | $0.00 | |
| 96159 | 0% | 1,469 | $0.00 | |
| 96158 | 0% | 4,184 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 91 | $0.00 |
| 91322 | 0% | 1,294 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 1,046 | $0.00 |
| 3051F | 0% | 781 | $0.00 | |
| D1999 | 0% | 1,288 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 309 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 225 | $0.00 |
| 90700 | 0% | 566 | $0.00 | |
| 90707 | 0% | 643 | $0.00 | |
| 0124A | 0% | 288 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 75 | $0.00 |
| 85610 | 0% | 905 | $0.00 | |
| 4004F | 0% | 436 | $0.00 | |
| 90658 | 0% | 980 | $0.00 | |
| 91313 | 0% | 508 | $0.00 | |
| 90685 | 0% | 270 | $0.00 | |
| 91300 | 0% | 153 | $0.00 | |
| 96152 | 0% | 243 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 21 | $0.00 |
| 2028F | 0% | 88 | $0.00 | |
| 90750 | 0% | 54 | $0.00 | |
| 90736 | 0% | 13 | $0.00 | |
| 99473 | 0% | 80 | $0.00 | |
| 0004A | 0% | 35 | $0.00 | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 0% | 12 | $0.00 |
| 91311 | 0% | 14 | $0.00 | |
| 91321 | 0% | 29 | $0.00 | |
| 0003A | 0% | 16 | $0.00 | |
| 11982 | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialROGERS, DAVID (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Sunset Community Health Center | Yuma, AZ | $850K |
| Ortonville Area Health Services | Ortonville, MN | $834K |
| Sunset Community Health Center INC | San Luis, AZ | $167K |
| DRN Medical LLC | Easley, SC | $150K |
| Ortonville Area Health Services | Ortonville, MN | $138K |
| Ortonville Area Health Services | Ortonville, MN | $75K |
| Sunset Community Health Center INC | Somerton, AZ | $63K |
| Sunset Community Health Center | San Luis, AZ | $32K |
| Sunset Community Health Center | Somerton, AZ | $28K |
| Sunset Community Health Center INC | Wellton, AZ | $10K |
| Jackson Anesthesia Associates INC | Marianna, FL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.