Dental
Highbury Dental Management, LLC
Highbury Dental Management, LLC was paid $639K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 18% of everything it billed.
33Billing provider infoHIGHBURY DENTAL MANAGEMENT, LLC
PHOENIX, AZ 85015
PHOENIX, AZ 85015
33aNPI1063950681assigned 02/02/2017
33bProvider typePediatric Dentist
28Total paid$639K
24GClaims78,608
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#29 of 223
Median peer was paid$24K
This provider vs. median27×
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
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 | 14,532 | $114K | |
| 2019 | 16,444 | $94K | |
| 2020 | 19,269 | $116K | |
| 2021 | 22,470 | $190K | |
| 2022 | 2,399 | $63K | |
| 2023 | 1,279 | $20K | |
| 2024incomplete | 2,215 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 4,205 | 2,185 | $115K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 9,294 | 9,141 | $114K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 10,215 | 10,111 | $81K |
| D1206 | Topical application of fluoride varnish | 8.9% | 9,321 | 9,180 | $57K |
| D0220 | Intraoral - periapical first radiographic image | 5.9% | 9,647 | 9,466 | $38K |
| D0274 | Bitewings - four radiographic images | 5.1% | 4,257 | 4,203 | $33K |
| D1351 | Sealant - per tooth | 4.8% | 4,727 | 1,692 | $31K |
| D1110 | Prophylaxis - adult | 4.5% | 2,429 | 2,364 | $29K |
| D0272 | Bitewings - two radiographic images | 4.0% | 4,065 | 4,001 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 1,184 | 817 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 1,605 | 1,552 | $17K |
| D0210 | Intraoral - complete series of radiographic images | 2.6% | 1,023 | 982 | $17K |
15 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 2,793 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 4,528 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 1,547 | $11K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 80 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 419 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 180 | $3K |
| D0240 | <1% | 490 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 135 | $2K |
| D0330 | Panoramic radiographic image | <1% | 175 | $2K |
| D2332 | <1% | 23 | $683.40 | |
| D0602 | 0% | 950 | $0.00 | |
| D0603 | 0% | 888 | $0.00 | |
| D0601 | 0% | 900 | $0.00 | |
| D1999 | 0% | 3,495 | $0.00 | |
| D1354 | 0% | 33 | $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 officialROWAN, RICHARD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Highbury Dental Management, LLC | Goodyear, AZ | $486K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.