Clinic
Good Life Dental
Good Life Dental was paid $0.00 by Medicaid between Apr 2023 and Oct 2024, across 13 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 0% of everything it billed.
33Billing provider infoGOOD LIFE DENTAL
QUEEN CREEK, AZ 85142
QUEEN CREEK, AZ 85142
33aNPI1104539303assigned 01/03/2023
33bProvider typeDental Clinic/Center
28Total paid$0.00
24GClaims2,548
24DCodes billed13
24AFirst – last monthApr 2023 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#64 of 70
Median peer was paid$7K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 1,599 | $0.00 | |
| 2024incomplete | 949 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 311 | 305 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 330 | 322 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 221 | 83 | $0.00 |
| D1320 | 0% | 316 | 309 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 155 | 151 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 28 | 26 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 95 | 24 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 20 | 17 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 208 | 205 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 186 | 180 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 158 | 156 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 382 | 368 | $0.00 |
1 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 138 | $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 officialJACKSON, MARVIN (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| A Perfect Smile | Price, UT | $1.04M |
| The River's Edge Dental | Coolidge, AZ | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.