Dental
Phoenix Wisdom Teeth, LLC
Phoenix Wisdom Teeth, LLC was paid $893K by Medicaid between Feb 2022 and Dec 2024, across 10 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 45% of everything it billed.
33Billing provider infoPHOENIX WISDOM TEETH, LLC
GLENDALE, AZ 85308
GLENDALE, AZ 85308
33aNPI1255945366assigned 09/04/2020
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$893K
24GClaims18,124
24DCodes billed10
24AFirst – last monthFeb 2022 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Arizona
Rank by total paid#2 of 30
Median peer was paid$1K
This provider vs. median775×
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 | |
|---|---|---|---|
| 2022 | 3,851 | $192K | |
| 2023 | 7,436 | $387K | |
| 2024incomplete | 6,837 | $314K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 45% | 3,523 | 1,493 | $401K |
| D7230 | 17% | 1,543 | 895 | $148K | |
| D9243 | 12% | 2,697 | 1,837 | $104K | |
| D9239 | 9.3% | 2,016 | 1,981 | $83K | |
| D0330 | Panoramic radiographic image | 6.3% | 4,243 | 4,192 | $57K |
| D0140 | Limited oral evaluation - problem focused | 5.3% | 2,852 | 2,803 | $47K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.2% | 733 | 369 | $47K |
| D7220 | <1% | 39 | 26 | $4K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 226 | 206 | $2K |
| D9222 | <1% | 252 | 247 | $382.45 |
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 officialARNOLD, RYAN (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| San Antonio Wisdom Teeth, PLLC | San Antonio, TX | $516K |
| Wisdom Teeth Guys, LLC | Bountiful, UT | $90K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.