Dental
Palm Valley Pediatric Dentistry
Palm Valley Pediatric Dentistry was paid $2K by Medicaid between Jan 2019 and Mar 2019, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 65% of everything it billed.
33Billing provider infoPALM VALLEY PEDIATRIC DENTISTRY
GOODYEAR, AZ 85395
GOODYEAR, AZ 85395
33aNPI1255705919assigned 11/18/2015
33bProvider typePediatric Dentist
28Total paid$2K
24GClaims58
24DCodes billed2
24AFirst – last monthJan 2019 – Mar 2019
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#172 of 223
Median peer was paid$24K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 58 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 65% | 28 | 28 | $1K |
| D1206 | Topical application of fluoride varnish | 35% | 30 | 30 | $580.50 |
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 officialDOLGHIER, OLGA (DMD)