Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AZ › Fort Defiance › NPI 1063675312
Dental

Winters, Lydia

Winters, Lydia was paid $408K by Medicaid between Nov 2020 and Sep 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.

33Billing provider infoWINTERS, LYDIA
FORT DEFIANCE, AZ 86504
33aNPI1063675312assigned 07/08/2008
33bProvider typeDentist
28Total paid$408K
24GClaims12,966
24DCodes billed17
24AFirst – last monthNov 2020 – Sep 2024
Compared with peers

Next to other Dentist providers in Arizona

Rank by total paid#29 of 468
Median peer was paid$686.85
This provider vs. median594×

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$10K$20K$30K2018201920202021202220232024
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
2020484$10K
20213,985$116K
20225,168$165K
20232,661$94K
2024incomplete668$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 28% 2,094 2,069 $115K
D1110 Prophylaxis - adult 9.4% 700 695 $38K
D0150 Comprehensive oral evaluation - new or established patient 8.9% 1,243 1,227 $36K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 8.6% 1,665 1,652 $35K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 7.2% 434 311 $29K
D0330 Panoramic radiographic image 6.7% 669 663 $27K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5.8% 510 354 $23K
D1206 Topical application of fluoride varnish 5.6% 1,526 1,521 $23K
D0274 Bitewings - four radiographic images 5.5% 739 732 $22K
D1208 Topical application of fluoride, excluding varnish 5.2% 1,397 1,372 $21K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.2% 378 340 $13K
D0272 Bitewings - two radiographic images 2.7% 663 657 $11K
5 more codes
D0220 Intraoral - periapical first radiographic image <1% 394 $4K
D1351 Sealant - per tooth <1% 148 $3K
D0230 Intraoral - periapical each additional radiographic image <1% 334 $2K
D7140 Extraction, erupted tooth or exposed root <1% 31 $2K
D0140 Limited oral evaluation - problem focused <1% 41 $1K

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.