Dental
Phoenix Childrens Dentistry
Phoenix Childrens Dentistry was paid $412K by Medicaid between Jan 2018 and Oct 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 21% of everything it billed.
33Billing provider infoPHOENIX CHILDRENS DENTISTRY
GLENDALE, AZ 85308
GLENDALE, AZ 85308
33aNPI1508218132assigned 07/07/2016
33bProvider typePediatric Dentist
28Total paid$412K
24GClaims46,039
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#42 of 223
Median peer was paid$24K
This provider vs. median17×
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 | 1,812 | $10K | |
| 2019 | 2,765 | $13K | |
| 2020 | 3,309 | $21K | |
| 2021 | 8,300 | $67K | |
| 2022 | 9,281 | $99K | |
| 2023 | 10,972 | $112K | |
| 2024incomplete | 9,600 | $89K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 7,523 | 7,373 | $88K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 2,299 | 931 | $56K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 6,248 | 6,113 | $47K |
| D1208 | Topical application of fluoride, excluding varnish | 7.7% | 5,804 | 5,691 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 2,217 | 2,181 | $27K |
| D0272 | Bitewings - two radiographic images | 5.1% | 3,290 | 3,211 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 4,433 | 4,320 | $17K |
| D0330 | Panoramic radiographic image | 3.9% | 904 | 885 | $16K |
| D1351 | Sealant - per tooth | 3.9% | 2,319 | 688 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 679 | 370 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 4,071 | 3,897 | $13K |
| D1206 | Topical application of fluoride varnish | 3.0% | 2,121 | 2,081 | $12K |
13 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.6% | 294 | $11K |
| D1110 | Prophylaxis - adult | 2.0% | 678 | $8K |
| D1354 | 1.8% | 1,182 | $7K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 239 | $7K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 514 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.0% | 563 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 426 | $4K |
| D9248 | <1% | 58 | $2K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 47 | $1K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 39 | $884.94 |
| D2332 | <1% | 24 | $768.42 | |
| D1999 | <1% | 44 | $6.00 | |
| D0603 | 0% | 23 | $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 officialDAVE, MUKUL (DENTIST)