Dental
Affilliated Children's Dental Specialists
Affilliated Children's Dental Specialists was paid $147K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoAFFILLIATED CHILDREN'S DENTAL SPECIALISTS
GLENDALE, AZ 85308
GLENDALE, AZ 85308
33aNPI1396850251assigned 08/20/2006
33bProvider typePediatric Dentist
28Total paid$147K
24GClaims39,635
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#65 of 223
Median peer was paid$24K
This provider vs. median6.2×
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 | 4,551 | $1K | |
| 2019 | 4,379 | $3K | |
| 2020 | 4,478 | $10K | |
| 2021 | 5,788 | $15K | |
| 2022 | 5,989 | $30K | |
| 2023 | 6,860 | $35K | |
| 2024incomplete | 7,590 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 6,793 | 6,741 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 7,049 | 6,996 | $26K |
| D1206 | Topical application of fluoride varnish | 15% | 6,634 | 6,580 | $23K |
| D1354 | 12% | 4,094 | 1,309 | $18K | |
| D0272 | Bitewings - two radiographic images | 7.5% | 3,276 | 3,244 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 3,766 | 3,719 | $8K |
| D1351 | Sealant - per tooth | 4.3% | 1,346 | 385 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 3,300 | 3,186 | $5K |
| D1110 | Prophylaxis - adult | 2.0% | 509 | 504 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 80 | 41 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 270 | 268 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 66 | 64 | $308.23 |
3 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 officialWEAVER, GERI (OFFICE MANAGER)