Dental
Spanish Trail Pediatric Dental Partners, LLP
Spanish Trail Pediatric Dental Partners, LLP was paid $788K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoSPANISH TRAIL PEDIATRIC DENTAL PARTNERS, LLP
TUCSON, AZ 85743
TUCSON, AZ 85743
33aNPI1487939211assigned 10/12/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$788K
24GClaims63,414
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#24 of 530
Median peer was paid$920.17
This provider vs. median856×
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 | 2,660 | $30K | |
| 2019 | 9,093 | $144K | |
| 2020 | 10,482 | $161K | |
| 2021 | 8,023 | $111K | |
| 2022 | 9,838 | $95K | |
| 2023 | 11,096 | $118K | |
| 2024incomplete | 12,222 | $129K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 7,194 | 6,882 | $166K |
| D1206 | Topical application of fluoride varnish | 13% | 9,023 | 8,611 | $105K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 6,952 | 6,635 | $105K |
| D0220 | Intraoral - periapical first radiographic image | 6.2% | 6,124 | 5,703 | $49K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 7,737 | 5,085 | $48K |
| D0272 | Bitewings - two radiographic images | 5.9% | 3,868 | 3,641 | $46K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 1,665 | 1,565 | $41K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.2% | 855 | 361 | $33K |
| D1110 | Prophylaxis - adult | 3.9% | 1,424 | 1,354 | $30K |
| D0274 | Bitewings - four radiographic images | 3.3% | 1,774 | 1,648 | $26K |
| D1354 | 3.2% | 2,077 | 494 | $26K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.1% | 359 | 98 | $25K |
11 more codes
| D0350 | 3.0% | 1,919 | $24K | |
| D1351 | Sealant - per tooth | 2.5% | 1,774 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 1,291 | $15K |
| D0330 | Panoramic radiographic image | 1.5% | 981 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 208 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 204 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 55 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 45 | $2K |
| D1330 | 0% | 6,343 | $0.00 | |
| D9920 | 0% | 16 | $0.00 | |
| D1999 | 0% | 1,526 | $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 officialANDREOPOULOS, DENNIS (OWNER DOCTOR)