Dental
The River's Edge Dental
The River's Edge Dental was paid $12K by Medicaid between Sep 2020 and Sep 2024, across 10 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 30% of everything it billed.
33Billing provider infoTHE RIVER'S EDGE DENTAL
COOLIDGE, AZ 85128
COOLIDGE, AZ 85128
33aNPI1265085567assigned 07/17/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$12K
24GClaims1,902
24DCodes billed10
24AFirst – last monthSep 2020 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#162 of 530
Median peer was paid$920.17
This provider vs. median14×
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 | |
|---|---|---|---|
| 2020 | 55 | $424.26 | |
| 2021 | 534 | $4K | |
| 2022 | 710 | $4K | |
| 2023 | 403 | $3K | |
| 2024incomplete | 200 | $631.02 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 30% | 416 | 350 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 29% | 1,076 | 867 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13% | 21 | 13 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.6% | 54 | 54 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.5% | 162 | 109 | $930.02 |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 49 | 49 | $504.58 |
| D1206 | Topical application of fluoride varnish | 3.2% | 42 | 40 | $398.97 |
| D0274 | Bitewings - four radiographic images | 2.6% | 26 | 25 | $321.91 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.1% | 26 | 26 | $133.44 |
| D0603 | 0% | 30 | 27 | $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 officialJACKSON, MARVIN (OWNER / DENTIST)
| Provider | Location | Paid |
|---|---|---|
| A Perfect Smile | Price, UT | $1.04M |
| Good Life Dental | Queen Creek, AZ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.