Dental
West Valley Pediatric Dentistry
West Valley Pediatric Dentistry was paid $38K by Medicaid between Apr 2018 and Dec 2024, across 19 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoWEST VALLEY PEDIATRIC DENTISTRY
LITCHFIELD PARK, AZ 85340
LITCHFIELD PARK, AZ 85340
33aNPI1083767768assigned 01/18/2007
33bProvider typePediatric Dentist
28Total paid$38K
24GClaims17,166
24DCodes billed19
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#102 of 223
Median peer was paid$24K
This provider vs. median1.6×
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 | 26 | $476.06 | |
| 2019 | 26 | $476.06 | |
| 2020 | 53 | $1K | |
| 2021 | 86 | $234.31 | |
| 2022 | 1,988 | $2K | |
| 2023 | 5,838 | $6K | |
| 2024incomplete | 9,149 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 706 | 151 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 2,793 | 2,773 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 4,078 | 4,055 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 615 | 303 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.1% | 1,078 | 1,069 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 2,361 | 2,355 | $2K |
| D0330 | Panoramic radiographic image | 5.4% | 531 | 523 | $2K |
| D0272 | Bitewings - two radiographic images | 4.4% | 1,527 | 1,506 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 650 | 601 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 144 | 61 | $820.06 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 478 | 426 | $717.16 |
| D1351 | Sealant - per tooth | 1.8% | 332 | 104 | $662.22 |
7 more codes
| D0240 | 1.6% | 334 | $623.62 | |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 965 | $599.29 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 48 | $507.11 |
| D0274 | Bitewings - four radiographic images | <1% | 337 | $358.18 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 16 | $168.48 |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 58 | $148.20 |
| D1110 | Prophylaxis - adult | <1% | 115 | $89.16 |
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 officialBROWNSTEIN, JEFFREY (DENTIST OWNER)
| Provider | Location | Paid |
|---|---|---|
| Nebraska Dental Anesthesia, LLC | Omaha, NE | $543K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.