Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Queen Creek Pediatric Dentistry LLC

Queen Creek Pediatric Dentistry LLC was paid $26K by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 42% of everything it billed.

33Billing provider infoQUEEN CREEK PEDIATRIC DENTISTRY LLC
GILBERT, AZ 85297
33aNPI1063618916assigned 06/26/2007
33bProvider typePediatric Dentist
28Total paid$26K
24GClaims12,512
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Pediatric Dentist providers in Arizona

Rank by total paid#108 of 223
Median peer was paid$24K
This provider vs. median1.1×

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.

Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2018808$1K
20191,273$4K
20201,931$7K
20212,252$6K
20222,560$4K
20232,288$4K
2024incomplete1,400$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 42% 3,390 3,337 $11K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 23% 3,194 3,147 $6K
D0272 Bitewings - two radiographic images 14% 1,933 1,896 $4K
D1208 Topical application of fluoride, excluding varnish 14% 1,800 1,770 $4K
D1206 Topical application of fluoride varnish 6.2% 1,926 1,899 $2K
D0274 Bitewings - four radiographic images 1.3% 146 142 $345.80
D1110 Prophylaxis - adult <1% 12 12 $77.72
D0220 Intraoral - periapical first radiographic image <1% 65 59 $45.70
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 18 12 $34.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 0% 28 12 $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 officialCLARK, JOEL (DENTIST)
Same official

Other billing entities under CLARK, JOEL

Full network →
ProviderLocationPaid
A2zpd LLCMesa, AZ$2.94M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.