Dental
Highbury Dental Management, LLC
Highbury Dental Management, LLC was paid $197K by Medicaid between Aug 2018 and Nov 2024, across 29 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoHIGHBURY DENTAL MANAGEMENT, LLC
MESA, AZ 85212
MESA, AZ 85212
33aNPI1194200980assigned 09/27/2018
33bProvider typePediatric Dentist
28Total paid$197K
24GClaims38,812
24DCodes billed29
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#58 of 223
Median peer was paid$24K
This provider vs. median8.4×
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 | 1,891 | $189.00 | |
| 2019 | 10,463 | $24K | |
| 2020 | 12,954 | $48K | |
| 2021 | 2,409 | $14K | |
| 2022 | 5,630 | $13K | |
| 2023 | 3,266 | $53K | |
| 2024incomplete | 2,199 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 5,673 | 5,569 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 4,971 | 4,917 | $29K |
| D1206 | Topical application of fluoride varnish | 15% | 6,433 | 6,314 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.8% | 4,167 | 3,231 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 7.9% | 4,983 | 4,875 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 1,199 | 1,147 | $9K |
| D0272 | Bitewings - two radiographic images | 4.0% | 2,087 | 2,035 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.0% | 966 | 525 | $6K |
| D0274 | Bitewings - four radiographic images | 2.8% | 1,442 | 1,407 | $5K |
| D0330 | Panoramic radiographic image | 2.7% | 393 | 381 | $5K |
| D1351 | Sealant - per tooth | 2.0% | 1,158 | 388 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 264 | 143 | $4K |
17 more codes
| D1110 | Prophylaxis - adult | 1.5% | 500 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 221 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 534 | $1K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 123 | $850.40 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 329 | $598.01 |
| D0240 | <1% | 380 | $348.83 | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 40 | $256.04 |
| D0160 | <1% | 19 | $30.86 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 26 | $28.58 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 14 | $27.70 |
| D1999 | <1% | 1,455 | $11.74 | |
| D2934 | 0% | 55 | $0.00 | |
| D0603 | 0% | 745 | $0.00 | |
| D0601 | 0% | 315 | $0.00 | |
| D0602 | 0% | 207 | $0.00 | |
| D3230 | 0% | 55 | $0.00 | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 58 | $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 officialARANA, NATHANIEL (CONSULTANT)
| Provider | Location | Paid |
|---|---|---|
| Highbury Dental Management, LLC | Glendale, AZ | $572K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.