Dental
Da Vinci Dental Phoenix
Da Vinci Dental Phoenix was paid $102K by Medicaid between Jan 2018 and May 2023, across 20 billing codes. Its largest line is D2335, — 19% of everything it billed.
33Billing provider infoDA VINCI DENTAL PHOENIX
PHOENIX, AZ 85013
PHOENIX, AZ 85013
33aNPI1477833069assigned 08/26/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$102K
24GClaims16,850
24DCodes billed20
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#81 of 530
Median peer was paid$920.17
This provider vs. median111×
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 | 516 | $2K | |
| 2019 | 3,639 | $19K | |
| 2020 | 5,227 | $70K | |
| 2021 | 3,710 | $5K | |
| 2022 | 3,731 | $6K | |
| 2023 | 27 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2335 | 19% | 1,238 | 496 | $20K | |
| D2740 | Crown - porcelain/ceramic | 17% | 392 | 318 | $18K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 15% | 1,113 | 286 | $16K |
| D3320 | 9.0% | 137 | 125 | $9K | |
| D2332 | 6.9% | 837 | 363 | $7K | |
| D2950 | 5.1% | 544 | 424 | $5K | |
| D1110 | Prophylaxis - adult | 3.3% | 1,119 | 1,101 | $3K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 3.1% | 162 | 144 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 2,274 | 1,731 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 328 | 110 | $3K |
| D1355 | 2.6% | 1,634 | 330 | $3K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 1,083 | 1,067 | $3K |
8 more codes
| D1354 | 2.5% | 1,454 | $3K | |
| D0274 | Bitewings - four radiographic images | 2.2% | 1,111 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 1,881 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 1,107 | $1K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 321 | $1K |
| D2750 | <1% | 47 | $800.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 55 | $450.00 |
| D9110 | <1% | 13 | $80.00 |
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 officialDEAVILA, BRYAN (CO-OWNER)