Horizon Dental Group LLC

Horizon Dental Group LLC was paid $15K by Medicaid between Mar 2018 and Apr 2023, across 7 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 50% of everything it billed.

33Billing provider infoHORIZON DENTAL GROUP LLC
CHINO VALLEY, AZ 86323

33aNPI1457419327assigned 12/04/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$15K

24GClaims1,089

24DCodes billed7

24AFirst – last monthMar 2018 – Apr 2023

Compared with peers

Next to other General Practice Dentistry providers in Arizona

Rank by total paid#151 of 530

Median peer was paid$920.17

This provider vs. median16×

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	27	$666.39
2019	40	$400.69
2020	427	$5K
2021	272	$3K
2022	150	$2K
2023	173	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	50%	378	364	$8K
D0220	Intraoral - periapical first radiographic image	18%	380	360	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	130	129	$2K
D0274	Bitewings - four radiographic images	8.6%	86	85	$1K
D1110	Prophylaxis - adult	6.1%	56	55	$918.78
D1120	Dental cleaning, childProphylaxis - child	3.8%	26	26	$572.15
D1208	Topical application of fluoride, excluding varnish	1.8%	33	32	$272.06

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 officialCOSTES, MARK (OWNER DENTIST)