Clinic
Ashwaq Dental One, LLC
Ashwaq Dental One, LLC was paid $61.38 by Medicaid between Jun 2020 and Apr 2024, across 3 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 79% of everything it billed.
33Billing provider infoASHWAQ DENTAL ONE, LLC
ANTHEM, AZ 85086
ANTHEM, AZ 85086
33aNPI1144757196assigned 05/20/2017
33bProvider typeDental Clinic/Center
28Total paid$61.38
24GClaims80
24DCodes billed3
24AFirst – last monthJun 2020 – Apr 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#61 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 | |
|---|---|---|---|
| 2020 | 42 | $61.38 | |
| 2024incomplete | 38 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 79% | 30 | 28 | $48.38 |
| D1208 | Topical application of fluoride, excluding varnish | 21% | 26 | 26 | $13.00 |
| D0274 | Bitewings - four radiographic images | 0% | 24 | 24 | $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 officialKAYAT, ISAIMA (MANAGER)