Dental
Pediatric Dentistry of Yuma, INC.
Pediatric Dentistry of Yuma, INC. was paid $1.03M by Medicaid between Oct 2018 and Dec 2024, across 14 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 18% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF YUMA, INC.
YUMA, AZ 85364
YUMA, AZ 85364
33aNPI1447399233assigned 02/06/2007
33bProvider typePediatric Dentist
28Total paid$1.03M
24GClaims25,277
24DCodes billed14
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#23 of 223
Median peer was paid$24K
This provider vs. median44×
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 | 2,250 | $65K | |
| 2019 | 4,903 | $183K | |
| 2020 | 2,825 | $86K | |
| 2021 | 3,674 | $164K | |
| 2022 | 4,023 | $185K | |
| 2023 | 3,794 | $169K | |
| 2024incomplete | 3,808 | $181K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 18% | 4,749 | 4,364 | $191K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 4,395 | 4,019 | $190K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 4,085 | 3,777 | $177K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 1,342 | 831 | $166K |
| D0272 | Bitewings - two radiographic images | 8.8% | 3,203 | 2,940 | $90K |
| D0220 | Intraoral - periapical first radiographic image | 4.5% | 2,653 | 2,331 | $46K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 2,761 | 1,856 | $38K |
| D9248 | 3.3% | 215 | 163 | $35K | |
| D0274 | Bitewings - four radiographic images | 3.3% | 740 | 684 | $35K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 523 | 412 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 455 | 406 | $26K |
| D1110 | Prophylaxis - adult | <1% | 74 | 71 | $4K |
2 more codes
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 officialCULLEN, BRIAN (PRESIDENT)