Dental
Kids Grins-Queen Creek
Kids Grins-Queen Creek was paid $0.00 by Medicaid between Nov 2022 and Jul 2024, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 0% of everything it billed.
33Billing provider infoKIDS GRINS-QUEEN CREEK
QUEEN CREEK, AZ 85142
QUEEN CREEK, AZ 85142
33aNPI1184347833assigned 09/19/2022
33bProvider typePediatric Dentist
28Total paid$0.00
24GClaims1,145
24DCodes billed8
24AFirst – last monthNov 2022 – Jul 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#198 of 223
Median peer was paid$24K
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 | |
|---|---|---|---|
| 2022 | 110 | $0.00 | |
| 2023 | 688 | $0.00 | |
| 2024incomplete | 347 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 0% | 351 | 349 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 127 | 126 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 152 | 149 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 46 | 46 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 161 | 159 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 215 | 214 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 12 | 12 | $0.00 |
| D1354 | 0% | 81 | 15 | $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 officialBAUGHN, TESSA (OFFICE MANAGER)
Parent organizationJOHN W. TAYLOR, DDS, PLLC