Archibald, Spencer
Archibald, Spencer was paid $1.47M by Medicaid between May 2018 and Dec 2024, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 44% of everything it billed.
33Billing provider infoARCHIBALD, SPENCER
MESA, AZ 85206
MESA, AZ 85206
33aNPI1316118185assigned 03/19/2008
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$1.47M
24GClaims47,197
24DCodes billed19
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Arizona
Rank by total paid#3 of 53
Median peer was paid$859.04
This provider vs. median1,707×
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 | |
|---|---|---|---|
| 2018 | 5,164 | $137K | |
| 2019 | 9,976 | $302K | |
| 2020 | 8,924 | $280K | |
| 2021 | 4,950 | $152K | |
| 2022 | 5,922 | $184K | |
| 2023 | 7,758 | $252K | |
| 2024incomplete | 4,503 | $161K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 44% | 8,004 | 7,938 | $648K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.5% | 1,313 | 1,287 | $140K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 8,767 | 8,681 | $110K |
| D1351 | Sealant - per tooth | 7.1% | 3,238 | 815 | $104K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6.4% | 1,918 | 790 | $94K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 901 | 345 | $82K |
| D0272 | Bitewings - two radiographic images | 4.0% | 6,467 | 6,393 | $59K |
| D2140 | 3.8% | 1,142 | 585 | $56K | |
| D1206 | Topical application of fluoride varnish | 3.4% | 9,018 | 8,928 | $50K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.7% | 475 | 142 | $25K |
| D0274 | Bitewings - four radiographic images | 1.6% | 1,659 | 1,645 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 278 | 148 | $20K |
7 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 515 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 1,568 | $16K |
| D0140 | Limited oral evaluation - problem focused | <1% | 176 | $9K |
| D1110 | Prophylaxis - adult | <1% | 347 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,000 | $4K |
| D0330 | Panoramic radiographic image | <1% | 398 | $3K |
| D1999 | 0% | 13 | $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.