Clinic
State 48 Dental PLLC
State 48 Dental PLLC was paid $454.68 by Medicaid between Aug 2021 and Oct 2024, across 3 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 59% of everything it billed.
33Billing provider infoSTATE 48 DENTAL PLLC
GLENDALE, AZ 85305
GLENDALE, AZ 85305
33aNPI1437732054assigned 05/02/2021
33bProvider typeDental Clinic/Center
28Total paid$454.68
24GClaims167
24DCodes billed3
24AFirst – last monthAug 2021 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#55 of 70
Median peer was paid$7K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 61 | $92.92 | |
| 2022 | 12 | $52.16 | |
| 2023 | 34 | $49.88 | |
| 2024incomplete | 60 | $259.72 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 59% | 92 | 81 | $266.49 |
| D0230 | Intraoral - periapical each additional radiographic image | 34% | 58 | 52 | $152.77 |
| D0140 | Limited oral evaluation - problem focused | 7.8% | 17 | 16 | $35.42 |
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 officialTRUONG, BRIAN (PRINCIPAL)
| Provider | Location | Paid |
|---|---|---|
| Aion Womens Health SC | Moses Lake, WA | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.