Dental
Great Grins Children's Dentistry, P.L.L.C.
Great Grins Children's Dentistry, P.L.L.C. was paid $194K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoGREAT GRINS CHILDREN'S DENTISTRY, P.L.L.C.
TUCSON, AZ 85712
TUCSON, AZ 85712
33aNPI1134499007assigned 01/09/2012
33bProvider typePediatric Dentist
28Total paid$194K
24GClaims18,996
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#59 of 223
Median peer was paid$24K
This provider vs. median8.3×
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 | 2,398 | $51K | |
| 2019 | 3,075 | $64K | |
| 2020 | 2,208 | $44K | |
| 2021 | 3,587 | $36K | |
| 2022 | 2,701 | $0.00 | |
| 2023 | 3,004 | $0.00 | |
| 2024incomplete | 2,023 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 4,655 | 4,461 | $79K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 4,254 | 4,064 | $44K |
| D1206 | Topical application of fluoride varnish | 21% | 5,209 | 4,993 | $40K |
| D0272 | Bitewings - two radiographic images | 12% | 2,570 | 2,446 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 53 | 25 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 575 | 526 | $3K |
| D0240 | <1% | 132 | 102 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 25 | 25 | $398.64 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | 13 | $397.45 |
| D1999 | 0% | 527 | 523 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 51 | 48 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 12 | 12 | $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 officialWOLFMAN, ANGELA (DOCTOR/OWNER)