Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Katsur Dental of Arizona, INC.

Katsur Dental of Arizona, INC. was paid $2K by Medicaid between Mar 2018 and Jul 2020, across 6 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 33% of everything it billed.

33Billing provider infoKATSUR DENTAL OF ARIZONA, INC.
GOODYEAR, AZ 85338
33aNPI1174771612assigned 09/08/2008
28Total paid$2K
24GClaims143
24DCodes billed6
24AFirst – last monthMar 2018 – Jul 2020
Compared with peers

Next to other General Practice Dentistry providers in Arizona

Rank by total paid#234 of 530
Median peer was paid$920.17
This provider vs. median1.9×

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

$0$200$400$6002018201920202021202220232024
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
YearClaimsPaid
201883$884.93
201928$451.23
202032$369.60
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0274 Bitewings - four radiographic images 33% 60 58 $567.22
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 23% 29 29 $398.06
D0330 Panoramic radiographic image 19% 12 12 $325.00
D0150 Comprehensive oral evaluation - new or established patient 11% 12 12 $186.23
D1120 Dental cleaning, childProphylaxis - child 9.6% 16 16 $163.31
D1208 Topical application of fluoride, excluding varnish 3.9% 14 14 $65.94

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 officialGARDINER, TERRI (CREDENTIALING COORDINATOR)
Same official

Other billing entities under GARDINER, TERRI

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.