Dental
Douglas Dental, LLC
Douglas Dental, LLC was paid $648K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoDOUGLAS DENTAL, LLC
DOUGLAS, AZ 85607
DOUGLAS, AZ 85607
33aNPI1508001660assigned 12/03/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$648K
24GClaims31,669
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#28 of 530
Median peer was paid$920.17
This provider vs. median704×
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 | 3,938 | $137K | |
| 2019 | 5,196 | $171K | |
| 2020 | 4,495 | $104K | |
| 2021 | 4,492 | $80K | |
| 2022 | 4,812 | $55K | |
| 2023 | 4,805 | $55K | |
| 2024incomplete | 3,931 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 3,898 | 3,733 | $104K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 5,111 | 4,901 | $91K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 1,431 | 786 | $88K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 1,107 | 569 | $69K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 5,323 | 5,098 | $67K |
| D0274 | Bitewings - four radiographic images | 10% | 3,467 | 3,325 | $66K |
| D1110 | Prophylaxis - adult | 8.4% | 1,727 | 1,661 | $55K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 3,601 | 1,271 | $31K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 2,133 | 2,010 | $20K |
| D0330 | Panoramic radiographic image | 2.6% | 567 | 550 | $17K |
| D0272 | Bitewings - two radiographic images | 1.8% | 937 | 886 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 359 | 359 | $9K |
7 more codes
| D0140 | Limited oral evaluation - problem focused | 1.2% | 323 | $8K |
| D1351 | Sealant - per tooth | <1% | 199 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 79 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 153 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 161 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 22 | $1K |
| D1999 | 0% | 1,071 | $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 officialBEJARANO, ANGELA (ACCOUNTS RECEIVABLE)