Gilbert Kidtastic Dental LLC
Gilbert Kidtastic Dental LLC was paid $481K by Medicaid between Mar 2020 and Dec 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
GILBERT, AZ 85297
Next to other Pediatric Dentist providers in Arizona
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 6,274 | $54K | |
| 2021 | 10,442 | $89K | |
| 2022 | 10,568 | $130K | |
| 2023 | 11,121 | $133K | |
| 2024incomplete | 7,141 | $75K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 6,596 | 6,431 | $103K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 6,525 | 6,387 | $67K |
| D1206 | Topical application of fluoride varnish | 13% | 7,727 | 7,538 | $61K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 961 | 532 | $31K |
| D1351 | Sealant - per tooth | 6.1% | 2,909 | 895 | $29K |
| D0272 | Bitewings - two radiographic images | 5.2% | 2,854 | 2,788 | $25K |
| D0240 | 5.2% | 3,400 | 2,411 | $25K | |
| D1110 | Prophylaxis - adult | 5.1% | 1,262 | 1,224 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.9% | 867 | 539 | $24K |
| D0274 | Bitewings - four radiographic images | 4.6% | 1,817 | 1,770 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 1,686 | 1,170 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 624 | 596 | $12K |
8 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.6% | 1,353 | $12K |
| D0330 | Panoramic radiographic image | 2.3% | 579 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 1,887 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 99 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 229 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 168 | $2K |
| D3120 | <1% | 152 | $1K | |
| D0431 | 0% | 3,851 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Chris Larrow PLLC | Lawton, OK | $16.57M |
| Germantown Pediatric Dental & Orthodontic Center, LLC | Germantown, MD | $3.35M |
| Robstown Dental PLLC | Robstown, TX | $2.84M |
| Stan Kidtastic Dental LLC | San Tan Valley, AZ | $2.22M |
| Mesa Kidtastic Dental LLC | Mesa, AZ | $1.61M |
| Avondale Valley Dental LLC | Avondale, AZ | $1.39M |
| Peppermint Dental-Mckinney PLLC | Mckinney, TX | $1.35M |
| Mesa Valley Dental LLC | Mesa, AZ | $1.24M |
| Mabank Family Dentistry PLLC | Mabank, TX | $753K |
| Stassney Austin Dental PLLC | Austin, TX | $659K |
| Northglenn Dentistry and Orthodontics PLLC | Northglenn, CO | $599K |
| Gulfside Dental Bridge City PLLC | Bridge City, TX | $569K |
| Archstone Dental PLLC | Fort Worth, TX | $561K |
| Riverside Austin Dental PLLC | Austin, TX | $396K |
| Dove Family Dentistry Oakland PLLC | Oakland, TN | $391K |
| Gilbert Valley Dental LLC | Gilbert, AZ | $296K |
| West Tennessee Dentistry PLLC | Jackson, TN | $287K |
| Copperas Cove Dentistry and Orthodontics PLLC | Copperas Cove, TX | $203K |
| East 51 Austin Dental PLLC | Austin, TX | $187K |
| Southpark Austin Dental PLLC | Austin, TX | $172K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.