Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › AZ › Sahuarita › NPI 1376111997
Dental

Tooth Town Dentistry 4 Kids

Tooth Town Dentistry 4 Kids was paid $284K by Medicaid between May 2022 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.

33Billing provider infoTOOTH TOWN DENTISTRY 4 KIDS
SAHUARITA, AZ 85629
33aNPI1376111997assigned 06/11/2021
33bProvider typePediatric Dentist
28Total paid$284K
24GClaims13,760
24DCodes billed19
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Arizona

Rank by total paid#48 of 223
Median peer was paid$24K
This provider vs. median12×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20223,587$77K
20235,600$113K
2024incomplete4,573$94K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 32% 2,410 2,344 $91K
D1206 Topical application of fluoride varnish 17% 2,487 2,417 $47K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 16% 1,831 1,782 $46K
D0272 Bitewings - two radiographic images 8.7% 1,230 1,195 $25K
D1351 Sealant - per tooth 5.5% 740 215 $16K
D2930 Prefabricated stainless steel crown - primary tooth 3.6% 86 29 $10K
D0150 Comprehensive oral evaluation - new or established patient 3.5% 258 248 $10K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.0% 367 338 $9K
D0220 Intraoral - periapical first radiographic image 2.6% 589 564 $7K
D0240 2.1% 633 245 $6K
D0230 Intraoral - periapical each additional radiographic image 1.4% 488 311 $4K
D0145 Oral evaluation for a patient under three years of age 1.4% 142 134 $4K
7 more codes
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.0% 41 $3K
D1354 <1% 132 $2K
D0274 Bitewings - four radiographic images <1% 69 $2K
D1110 Prophylaxis - adult <1% 50 $2K
D0602 0% 806 $0.00
D0603 0% 1,311 $0.00
D0601 0% 90 $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 officialPENUELAS, NATALY (OFFICE MANAGER)
Same official

Other billing entities under PENUELAS, NATALY

Full network →
ProviderLocationPaid
Tucson Tooth Town Dentistry 4 Kids PLLCTucson, AZ$67K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.