Dental
On Site Dental, PC
On Site Dental, PC was paid $5.74M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.
33Billing provider infoON SITE DENTAL, PC
CAMP VERDE, AZ 86322
CAMP VERDE, AZ 86322
33aNPI1487794798assigned 02/07/2007
33bProvider typePediatric Dentist
28Total paid$5.74M
24GClaims151,521
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#3 of 223
Median peer was paid$24K
This provider vs. median244×
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 | 28,929 | $1.14M | |
| 2019 | 33,313 | $1.28M | |
| 2020 | 12,919 | $574K | |
| 2021 | 8,559 | $298K | |
| 2022 | 18,206 | $664K | |
| 2023 | 25,177 | $947K | |
| 2024incomplete | 24,418 | $845K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 10,129 | 4,768 | $910K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 15% | 11,565 | 5,412 | $854K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.5% | 13,713 | 13,689 | $548K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 8,290 | 8,281 | $366K |
| D1206 | Topical application of fluoride varnish | 6.3% | 17,505 | 17,487 | $363K |
| D0240 | 5.9% | 11,338 | 11,324 | $336K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 9,068 | 9,059 | $250K |
| D0274 | Bitewings - four radiographic images | 4.1% | 7,222 | 7,211 | $234K |
| D1351 | Sealant - per tooth | 3.9% | 8,511 | 2,855 | $226K |
| D1352 | 3.6% | 5,880 | 1,630 | $209K | |
| D0272 | Bitewings - two radiographic images | 3.6% | 9,382 | 9,374 | $208K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.0% | 1,396 | 490 | $172K |
18 more codes
| D1999 | 2.9% | 14,222 | $165K | |
| D1110 | Prophylaxis - adult | 2.8% | 3,152 | $158K |
| D2330 | 2.1% | 1,563 | $118K | |
| D0330 | Panoramic radiographic image | 1.9% | 1,938 | $109K |
| D4355 | 1.7% | 1,345 | $99K | |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 5,750 | $76K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 631 | $69K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 5,711 | $62K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 538 | $42K |
| D3120 | <1% | 1,319 | $36K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 379 | $30K |
| D4341 | <1% | 110 | $27K | |
| D2332 | <1% | 159 | $18K | |
| D2331 | <1% | 184 | $17K | |
| D2140 | <1% | 263 | $17K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 163 | $12K |
| D2335 | <1% | 49 | $7K | |
| D2940 | <1% | 46 | $2K |
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 officialHISRICH, JAMES (PRESIDENT)