Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Marley Park Dental LLC

Marley Park Dental LLC was paid $19K by Medicaid between Jan 2018 and Mar 2021, across 9 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 21% of everything it billed.

33Billing provider infoMARLEY PARK DENTAL LLC
PEORIA, AZ 85345
33aNPI1417121039assigned 04/15/2008
28Total paid$19K
24GClaims1,907
24DCodes billed9
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers

Next to other General Practice Dentistry providers in Arizona

Rank by total paid#141 of 530
Median peer was paid$920.17
This provider vs. median21×

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$1.0K$2.0K2018201920202021202220232024
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
2018468$7K
2019379$4K
2020854$6K
2021206$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0220 Intraoral - periapical first radiographic image 21% 539 510 $4K
D0274 Bitewings - four radiographic images 20% 244 235 $4K
D1208 Topical application of fluoride, excluding varnish 18% 311 298 $3K
D0230 Intraoral - periapical each additional radiographic image 15% 450 426 $3K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 12% 201 196 $2K
D1110 Prophylaxis - adult 11% 95 89 $2K
D1120 Dental cleaning, childProphylaxis - child 2.6% 36 26 $501.87
D1206 Topical application of fluoride varnish <1% 12 12 $139.34
D1999 <1% 19 18 $6.00

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 officialMARUSKA, ERIN (DENTIST/OWNER)