Dental
My Kidz Dentistry
My Kidz Dentistry was paid $51K by Medicaid between Jan 2018 and Sep 2023, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoMY KIDZ DENTISTRY
PHOENIX, AZ 85021
PHOENIX, AZ 85021
33aNPI1407882681assigned 06/23/2006
33bProvider typePediatric Dentist
28Total paid$51K
24GClaims7,063
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#94 of 223
Median peer was paid$24K
This provider vs. median2.2×
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 | 6,898 | $51K | |
| 2023 | 165 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 993 | 988 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 317 | 163 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.9% | 197 | 109 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.8% | 260 | 259 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.8% | 1,023 | 1,017 | $4K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.1% | 80 | 44 | $4K |
| D0272 | Bitewings - two radiographic images | 6.9% | 761 | 755 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 5.9% | 1,030 | 1,023 | $3K |
| D1351 | Sealant - per tooth | 5.2% | 434 | 118 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 103 | 61 | $2K |
| D9248 | 2.9% | 70 | 64 | $2K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.7% | 40 | 17 | $1K |
10 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 451 | $1K |
| D1206 | Topical application of fluoride varnish | 2.0% | 167 | $1K |
| D1110 | Prophylaxis - adult | 2.0% | 185 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 486 | $936.30 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 208 | $917.90 |
| D0330 | Panoramic radiographic image | 1.1% | 51 | $541.62 |
| D0140 | Limited oral evaluation - problem focused | <1% | 67 | $454.60 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 59 | $316.25 |
| D0274 | Bitewings - four radiographic images | <1% | 57 | $123.57 |
| D0603 | 0% | 24 | $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 officialPRATT, JANICE (CENTRAL OFFICE MANAGER)