Dental
Wagstaff, Carson
Wagstaff, Carson was paid $0.00 by Medicaid between Mar 2018 and Jul 2018, across 3 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 0% of everything it billed.
33Billing provider infoWAGSTAFF, CARSON
MARANA, AZ 85653
MARANA, AZ 85653
33aNPI1255643359assigned 07/06/2010
33bProvider typeDentist
28Total paid$0.00
24GClaims62
24DCodes billed3
24AFirst – last monthMar 2018 – Jul 2018
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#315 of 468
Median peer was paid$686.85
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 | 62 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 0% | 15 | 13 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 15 | 15 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 32 | 30 | $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.