Dental
Lake Pleasant Kids Dentists and Orthodontics, LLP
Lake Pleasant Kids Dentists and Orthodontics, LLP was paid $60K by Medicaid between Feb 2022 and Sep 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoLAKE PLEASANT KIDS DENTISTS AND ORTHODONTICS, LLP
PEORIA, AZ 85383
PEORIA, AZ 85383
33aNPI1528694247assigned 03/13/2020
33bProvider typeDentist
28Total paid$60K
24GClaims6,767
24DCodes billed14
24AFirst – last monthFeb 2022 – Sep 2024
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#82 of 468
Median peer was paid$686.85
This provider vs. median88×
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 | |
|---|---|---|---|
| 2022 | 2,522 | $21K | |
| 2023 | 1,616 | $16K | |
| 2024incomplete | 2,629 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 1,156 | 1,124 | $18K |
| D1206 | Topical application of fluoride varnish | 18% | 1,358 | 1,319 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 763 | 740 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 436 | 431 | $7K |
| D0272 | Bitewings - two radiographic images | 7.6% | 563 | 546 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 853 | 825 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 772 | 730 | $3K |
| D0330 | Panoramic radiographic image | 3.2% | 176 | 174 | $2K |
| D1351 | Sealant - per tooth | 1.5% | 82 | 26 | $882.09 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 36 | 25 | $792.83 |
| D1110 | Prophylaxis - adult | <1% | 29 | 29 | $437.57 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 63 | 58 | $401.33 |
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 officialSHARIFIAN, ALEX (OWNER)