Clinic
CP Dental LLC
CP Dental LLC was paid $101K by Medicaid between Jun 2019 and Jan 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoCP DENTAL LLC
PAYSON, AZ 85541
PAYSON, AZ 85541
33aNPI1306360920assigned 07/26/2017
33bProvider typeDental Clinic/Center
28Total paid$101K
24GClaims9,163
24DCodes billed17
24AFirst – last monthJun 2019 – Jan 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#19 of 70
Median peer was paid$7K
This provider vs. median15×
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 | 1,122 | $35K | |
| 2020 | 1,525 | $43K | |
| 2021 | 2,081 | $22K | |
| 2022 | 2,483 | $0.00 | |
| 2023 | 1,831 | $0.00 | |
| 2024incomplete | 121 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 1,646 | 1,556 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 2,094 | 1,984 | $25K |
| D1206 | Topical application of fluoride varnish | 19% | 2,161 | 2,040 | $19K |
| D0274 | Bitewings - four radiographic images | 13% | 926 | 858 | $13K |
| D0272 | Bitewings - two radiographic images | 4.8% | 533 | 522 | $5K |
| D1110 | Prophylaxis - adult | 4.1% | 455 | 424 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 580 | 520 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 57 | 55 | $414.10 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | 13 | $285.91 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 423 | 239 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 102 | 98 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 15 | 12 | $0.00 |
5 more codes
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 officialBRUNSON, TIFFANY (OFFICE MANAGER)