Dental
Church, Justin
Church, Justin was paid $151K by Medicaid between Jan 2018 and Dec 2021, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoCHURCH, JUSTIN
YUMA, AZ 85364
YUMA, AZ 85364
33aNPI1184857419assigned 09/03/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$151K
24GClaims5,350
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#68 of 530
Median peer was paid$920.17
This provider vs. median164×
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 | 1,850 | $51K | |
| 2019 | 1,582 | $47K | |
| 2020 | 1,114 | $31K | |
| 2021 | 804 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 960 | 951 | $34K |
| D0140 | Limited oral evaluation - problem focused | 15% | 750 | 732 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,015 | 1,009 | $17K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 11% | 165 | 96 | $17K |
| D1110 | Prophylaxis - adult | 9.2% | 331 | 330 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.9% | 563 | 558 | $13K |
| D0330 | Panoramic radiographic image | 6.9% | 238 | 234 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 6.2% | 805 | 788 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 185 | 183 | $6K |
| D0274 | Bitewings - four radiographic images | 3.8% | 263 | 258 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 48 | 48 | $778.24 |
| D1206 | Topical application of fluoride varnish | <1% | 27 | 27 | $537.57 |
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.