Dental
Scoresby Pediatric Dental
Scoresby Pediatric Dental was paid $935K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoSCORESBY PEDIATRIC DENTAL
CHANDLER, AZ 85224
CHANDLER, AZ 85224
33aNPI1417176199assigned 04/24/2007
33bProvider typePediatric Dentist
28Total paid$935K
24GClaims52,259
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#25 of 223
Median peer was paid$24K
This provider vs. median40×
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 | 5,483 | $27K | |
| 2019 | 6,722 | $36K | |
| 2020 | 6,484 | $82K | |
| 2021 | 9,482 | $177K | |
| 2022 | 9,069 | $218K | |
| 2023 | 8,243 | $210K | |
| 2024incomplete | 6,776 | $184K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 11,939 | 11,689 | $312K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 11,588 | 11,369 | $200K |
| D1206 | Topical application of fluoride varnish | 17% | 12,624 | 12,352 | $163K |
| D0272 | Bitewings - two radiographic images | 9.5% | 6,260 | 6,110 | $89K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.3% | 1,339 | 486 | $68K |
| D0240 | 1.9% | 1,717 | 1,084 | $18K | |
| D1999 | 1.6% | 3,817 | 3,671 | $15K | |
| D1110 | Prophylaxis - adult | 1.3% | 458 | 451 | $12K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.3% | 182 | 50 | $12K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 678 | 653 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 421 | 392 | $11K |
| D0330 | Panoramic radiographic image | <1% | 274 | 272 | $9K |
9 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 236 | $6K |
| D1351 | Sealant - per tooth | <1% | 274 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 21 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 56 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 110 | $943.27 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 16 | $431.44 |
| D0603 | 0% | 165 | $0.00 | |
| D0601 | 0% | 72 | $0.00 | |
| D0602 | 0% | 12 | $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 officialSCORESBY, ROBERT (OWNER)