Dental
Kidiatric Dentistry, PLLC
Kidiatric Dentistry, PLLC was paid $157K by Medicaid between Jun 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoKIDIATRIC DENTISTRY, PLLC
GILBERT, AZ 85296
GILBERT, AZ 85296
33aNPI1073895629assigned 09/09/2011
33bProvider typePediatric Dentist
28Total paid$157K
24GClaims19,869
24DCodes billed19
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#64 of 223
Median peer was paid$24K
This provider vs. median6.7×
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 | 44 | $861.24 | |
| 2019 | 518 | $2K | |
| 2020 | 1,626 | $6K | |
| 2021 | 2,000 | $9K | |
| 2022 | 4,682 | $43K | |
| 2023 | 5,515 | $45K | |
| 2024incomplete | 5,484 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 3,167 | 3,033 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 2,692 | 2,566 | $28K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 2,448 | 2,338 | $19K |
| D0272 | Bitewings - two radiographic images | 9.8% | 1,989 | 1,896 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 2,408 | 2,299 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.7% | 2,201 | 2,025 | $9K |
| D0240 | 4.4% | 1,326 | 665 | $7K | |
| D0274 | Bitewings - four radiographic images | 2.8% | 312 | 301 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 470 | 434 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.1% | 109 | 63 | $3K |
| D1206 | Topical application of fluoride varnish | 2.0% | 544 | 526 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 144 | 143 | $2K |
7 more codes
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 officialVILLANUEVA, WALTER (PEDIATRIC DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Chandler Kidiatric Dental | Chandler, AZ | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.