DC Dental, LLC

DC Dental, LLC was paid $990.22 by Medicaid between Mar 2018 and Jun 2018, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 47% of everything it billed.

33Billing provider infoDC DENTAL, LLC
GOODYEAR, AZ 85338

33aNPI1447487632assigned 06/16/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$990.22

24GClaims54

24DCodes billed4

24AFirst – last monthMar 2018 – Jun 2018

Compared with peers

Next to other General Practice Dentistry providers in Arizona

Rank by total paid#264 of 530

Median peer was paid$920.17

This provider vs. median1.1×

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
2018	54	$990.22

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	47%	14	14	$462.70
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	14	14	$309.68
D1208	Topical application of fluoride, excluding varnish	22%	14	14	$217.84
D0150	Comprehensive oral evaluation - new or established patient	0%	12	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 officialNAVARRA, TONY (VICE PRESIDENT)