Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Four Peaks Family Dentistry

Four Peaks Family Dentistry was paid $376.78 by Medicaid between Jan 2018 and Jan 2019, across 6 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 27% of everything it billed.

33Billing provider infoFOUR PEAKS FAMILY DENTISTRY
SCOTTSDALE, AZ 85251
33aNPI1528250693assigned 08/13/2007
33bProvider typeDental Clinic/Center
28Total paid$376.78
24GClaims303
24DCodes billed6
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers

Next to other Dental Clinic/Center providers in Arizona

Rank by total paid#56 of 70
Median peer was paid$7K
This provider vs. median0.1×

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.

Entity ProliferationAuthorized official CLARK, ROBERT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100$200$3002018201920202021202220232024
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
YearClaimsPaid
2018206$144.78
201997$232.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0220 Intraoral - periapical first radiographic image 27% 90 90 $101.56
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 19% 36 36 $72.75
D1120 Dental cleaning, childProphylaxis - child 19% 31 31 $69.98
D1206 Topical application of fluoride varnish 14% 49 49 $54.19
D0230 Intraoral - periapical each additional radiographic image 11% 71 58 $40.66
D0272 Bitewings - two radiographic images 10.0% 26 26 $37.64

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 officialCLARK, ROBERT (DOCTOR)
Same official

Other billing entities under CLARK, ROBERT

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.