Dental
Williams, Stacy
Williams, Stacy was paid $76K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 57% of everything it billed.
33Billing provider infoWILLIAMS, STACY
SAFFORD, AZ 85546
SAFFORD, AZ 85546
33aNPI1407089998assigned 08/31/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$76K
24GClaims2,496
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#86 of 530
Median peer was paid$920.17
This provider vs. median83×
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 | 1,198 | $19K | |
| 2019 | 643 | $37K | |
| 2020 | 253 | $7K | |
| 2023 | 99 | $3K | |
| 2024incomplete | 303 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 57% | 907 | 403 | $44K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 807 | 791 | $16K |
| D0140 | Limited oral evaluation - problem focused | 8.1% | 197 | 178 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 53 | 27 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 251 | 200 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 178 | 157 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 39 | 25 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 13 | 13 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 51 | 30 | $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.