Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › PRESCOTT VALLEY › SUNWEST DENTAL CENTER, III LLC

SUNWEST DENTAL CENTER, III LLC

NPI: 1285956524 · PRESCOTT VALLEY, AZ 86314 · General Practice Dentistry · NPI assigned 02/26/2010

$1K
Total Medicaid Paid
49
Total Claims
47
Beneficiaries
2
Codes Billed
2023-03
First Month
2023-06
Last Month

Provider Details

Authorized OfficialDALTON, TRACEY (CREDENTIALING SPECIALIST)
Parent OrganizationSUNWEST DENTAL CENTER III, LLC
NPI Enumeration Date02/26/2010

Related Entities

Other providers sharing the same authorized official: DALTON, TRACEY

ProviderCityStateTotal Paid
SUN WEST DENTAL IV, LLC SURPRISE AZ $55K
SUNWEST DENTAL CENTER III, LLC TEMPE AZ $12K
SUN WEST DENTAL III, LLC APACHE JUNCTION AZ $3K
SUN WEST DENTAL SAN TAN SAN TAN VALLEY AZ $2K
SUN WEST DENTAL CENTER III, LLC BUCKEYE AZ $777.00
TEMPE SMILES FAMILY DENTAL, PC TEMPE AZ $541.64
SUN WEST DENTAL III, LLC DBA SUN WEST DENTAL CHANDLER AZ $110.00
SUN WEST DENTAL III, LLC MESA AZ $40.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 49 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 17 17 $615.57
D0220 Intraoral - periapical first radiographic image 32 30 $410.70