QUEEN CREEK PEDIATRIC DENTISTRY LLC
NPI: 1063618916
· GILBERT, AZ 85297
· Pediatric Dentist
· NPI assigned 06/26/2007
Provider Details
| Authorized Official | CLARK, JOEL (DENTIST) |
| NPI Enumeration Date | 06/26/2007 |
Related Entities
Other providers sharing the same authorized official: CLARK, JOEL
| Provider | City | State | Total Paid |
|---|
| A2ZPD LLC |
MESA |
AZ |
$2.94M |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
808 |
$1K |
| 2019 |
1,273 |
$4K |
| 2020 |
1,931 |
$7K |
| 2021 |
2,252 |
$6K |
| 2022 |
2,560 |
$4K |
| 2023 |
2,288 |
$4K |
| 2024 |
1,400 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
3,390 |
3,337 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
3,194 |
3,147 |
$6K |
| D0272 |
Bitewings - two radiographic images |
1,933 |
1,896 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,800 |
1,770 |
$4K |
| D1206 |
Topical application of fluoride varnish |
1,926 |
1,899 |
$2K |
| D0274 |
Bitewings - four radiographic images |
146 |
142 |
$345.80 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$77.72 |
| D0220 |
Intraoral - periapical first radiographic image |
65 |
59 |
$45.70 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
18 |
12 |
$34.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
28 |
12 |
$0.00 |