Dental
Arizona Mobile Dental, PC
Arizona Mobile Dental, PC was paid $526K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoARIZONA MOBILE DENTAL, PC
PHOENIX, AZ 85027
PHOENIX, AZ 85027
33aNPI1497119945assigned 04/11/2016
33bProvider typeDentist
28Total paid$526K
24GClaims62,187
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#25 of 468
Median peer was paid$686.85
This provider vs. median767×
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 | 14,925 | $143K | |
| 2019 | 14,213 | $116K | |
| 2020 | 2,658 | $12K | |
| 2021 | 3,923 | $32K | |
| 2022 | 7,590 | $78K | |
| 2023 | 10,844 | $89K | |
| 2024incomplete | 8,034 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 7,124 | 6,859 | $94K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 5,150 | 4,969 | $79K |
| D1351 | Sealant - per tooth | 14% | 7,528 | 2,312 | $73K |
| D1354 | 12% | 9,074 | 2,496 | $62K | |
| D1206 | Topical application of fluoride varnish | 10% | 7,587 | 7,329 | $53K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.9% | 9,599 | 6,660 | $42K |
| D0272 | Bitewings - two radiographic images | 6.7% | 4,880 | 4,703 | $35K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 7,064 | 6,803 | $34K |
| D0274 | Bitewings - four radiographic images | 3.8% | 1,508 | 1,447 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.8% | 2,326 | 2,259 | $20K |
| D1110 | Prophylaxis - adult | 2.0% | 286 | 275 | $11K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 37 | 25 | $2K |
1 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 24 | $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 officialLACORTE, MICHAEL (PRESIDENT)