A & N Sunvalley Dental Center, INC.

A & N Sunvalley Dental Center, INC. was paid $345.90 by Medicaid between May 2018 and Oct 2019, across 3 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 57% of everything it billed.

33Billing provider infoA & N SUNVALLEY DENTAL CENTER, INC.
TEMPE, AZ 85281

33aNPI1225274913assigned 12/30/2008

33bProvider typeExclusive Provider Organization

28Total paid$345.90

24GClaims85

24DCodes billed3

24AFirst – last monthMay 2018 – Oct 2019

Compared with peers

Next to other Exclusive Provider Organization providers in Arizona

Rank by total paid#5 of 5

Median peer was paid$182K

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
2018	37	$169.67
2019	48	$176.23

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0220	Intraoral - periapical first radiographic image	57%	57	49	$196.72
D1208	Topical application of fluoride, excluding varnish	26%	12	12	$91.55
D0230	Intraoral - periapical each additional radiographic image	17%	16	12	$57.63

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 officialKHESHTCHIN, MANDANA (DENTIST)