Dental
Kids Dentists of Surprise and Orthodontics, LLP
Kids Dentists of Surprise and Orthodontics, LLP was paid $633K by Medicaid between Jan 2020 and Dec 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoKIDS DENTISTS OF SURPRISE AND ORTHODONTICS, LLP
SURPRISE, AZ 85388
SURPRISE, AZ 85388
33aNPI1508410887assigned 07/25/2019
33bProvider typeDentist
28Total paid$633K
24GClaims80,355
24DCodes billed25
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#19 of 468
Median peer was paid$686.85
This provider vs. median922×
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 | |
|---|---|---|---|
| 2020 | 10,596 | $49K | |
| 2021 | 16,046 | $86K | |
| 2022 | 17,561 | $179K | |
| 2023 | 19,876 | $191K | |
| 2024incomplete | 16,276 | $128K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 10,506 | 10,317 | $129K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 9,565 | 9,406 | $77K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 14,866 | 9,258 | $72K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 2,388 | 1,148 | $68K |
| D1206 | Topical application of fluoride varnish | 7.3% | 6,806 | 6,676 | $46K |
| D0220 | Intraoral - periapical first radiographic image | 6.7% | 10,143 | 9,903 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 2,070 | 2,032 | $30K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.6% | 618 | 182 | $29K |
| D1351 | Sealant - per tooth | 3.6% | 2,709 | 894 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 4,328 | 4,269 | $22K |
| D0274 | Bitewings - four radiographic images | 3.3% | 2,356 | 2,298 | $21K |
| D0272 | Bitewings - two radiographic images | 3.0% | 2,789 | 2,732 | $19K |
13 more codes
| D1110 | Prophylaxis - adult | 2.3% | 951 | $15K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 1,947 | $13K |
| D0330 | Panoramic radiographic image | 1.5% | 980 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 346 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 310 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 138 | $2K |
| D1354 | <1% | 293 | $2K | |
| D0350 | <1% | 136 | $194.00 | |
| D3120 | <1% | 46 | $146.40 | |
| D1330 | 0% | 5,943 | $0.00 | |
| D0602 | 0% | 63 | $0.00 | |
| D0603 | 0% | 44 | $0.00 | |
| D9310 | 0% | 14 | $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 officialSIMPSON, ISABEL (OWNER)