Cottonwood Children's Dentistry

Cottonwood Children's Dentistry was paid $82K by Medicaid between Jan 2018 and Sep 2018, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.

33Billing provider infoCOTTONWOOD CHILDREN'S DENTISTRY
COTTONWOOD, AZ 86326

33aNPI1184020166assigned 11/18/2014

33bProvider typePediatric Dentist

28Total paid$82K

24GClaims2,671

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other Pediatric Dentist providers in Arizona

Rank by total paid#77 of 223

Median peer was paid$24K

This provider vs. median3.5×

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	2,671	$82K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	34%	667	666	$28K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	725	724	$22K
D1206	Topical application of fluoride varnish	16%	661	660	$13K
D0272	Bitewings - two radiographic images	9.7%	335	335	$8K
D1110	Prophylaxis - adult	4.8%	81	81	$4K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	3.0%	66	62	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.1%	20	13	$2K
D1351	Sealant - per tooth	1.2%	37	12	$967.68
D0145	Oral evaluation for a patient under three years of age	1.2%	28	28	$964.72
D0220	Intraoral - periapical first radiographic image	<1%	39	39	$553.04
D0230	Intraoral - periapical each additional radiographic image	<1%	12	12	$142.48

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 officialWASDEN, JUDD (MANAGER)