Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › TEMPE › TEMPE SMILES FAMILY DENTAL, PC

TEMPE SMILES FAMILY DENTAL, PC

NPI: 1295098689 · TEMPE, AZ 85284 · Dentist · NPI assigned 06/20/2012

$541.64
Total Medicaid Paid
653
Total Claims
564
Beneficiaries
5
Codes Billed
2019-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialDALTON, TRACEY (CREDENTIALING SPECIALIST)
NPI Enumeration Date06/20/2012

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
SUNWEST DENTAL CENTER, III LLC PRESCOTT VALLEY AZ $1K
SUN WEST DENTAL CENTER III, LLC BUCKEYE AZ $777.00
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
2019 270 $112.79
2020 79 $43.86
2021 170 $184.25
2022 50 $0.00
2023 70 $146.58
2024 14 $54.16

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 377 335 $341.91
D0230 Intraoral - periapical each additional radiographic image 214 171 $115.34
D0120 Periodic oral evaluation - established patient 18 18 $53.54
D0274 Bitewings - four radiographic images 28 27 $30.85
D0140 Limited oral evaluation - problem focused 16 13 $0.00