Dental
Highbury Dental Management, LLC
Highbury Dental Management, LLC was paid $486K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoHIGHBURY DENTAL MANAGEMENT, LLC
GOODYEAR, AZ 85338
GOODYEAR, AZ 85338
33aNPI1174061790assigned 02/02/2017
33bProvider typePediatric Dentist
28Total paid$486K
24GClaims97,309
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#35 of 223
Median peer was paid$24K
This provider vs. median21×
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 | 20,254 | $90K | |
| 2019 | 4,945 | $82K | |
| 2020 | 11,957 | $111K | |
| 2021 | 19,943 | $142K | |
| 2022 | 12,997 | $27K | |
| 2023 | 14,294 | $22K | |
| 2024incomplete | 12,919 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 13,795 | 13,593 | $112K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 12,839 | 12,660 | $63K |
| D1206 | Topical application of fluoride varnish | 11% | 14,662 | 14,457 | $55K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 3,741 | 2,106 | $53K |
| D0220 | Intraoral - periapical first radiographic image | 7.1% | 12,673 | 12,426 | $34K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 2,706 | 2,669 | $22K |
| D0274 | Bitewings - four radiographic images | 4.3% | 3,875 | 3,797 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 9,027 | 7,901 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.8% | 1,254 | 837 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 1,809 | 1,775 | $18K |
| D0272 | Bitewings - two radiographic images | 3.3% | 4,322 | 4,274 | $16K |
| D1110 | Prophylaxis - adult | 2.3% | 1,888 | 1,854 | $11K |
15 more codes
| D1351 | Sealant - per tooth | 1.9% | 2,060 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 2,583 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 1,435 | $8K |
| D0240 | <1% | 570 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 801 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 575 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 506 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 230 | $1K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 183 | $899.04 |
| D0330 | Panoramic radiographic image | <1% | 28 | $740.00 |
| D2140 | <1% | 64 | $125.32 | |
| D1999 | <1% | 2,267 | $3.00 | |
| D0603 | 0% | 926 | $0.00 | |
| D0601 | 0% | 1,513 | $0.00 | |
| D0602 | 0% | 977 | $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 officialROWAN, RICHARD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Highbury Dental Management, LLC | Phoenix, AZ | $639K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.