Dental
Arizona Department of Health Services
Arizona Department of Health Services was paid $96K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 54% of everything it billed.
33Billing provider infoARIZONA DEPARTMENT OF HEALTH SERVICES
PHOENIX, AZ 85007
PHOENIX, AZ 85007
33aNPI1538593157assigned 08/30/2013
33bProvider typePublic Health Dentist
28Total paid$96K
24GClaims33,070
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Public Health Dentist providers in Arizona
Rank by total paid#5 of 11
Median peer was paid$11K
This provider vs. median9.0×
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 | 4,446 | $19K | |
| 2019 | 10,001 | $47K | |
| 2020 | 3,216 | $13K | |
| 2021 | 2,849 | $6K | |
| 2022 | 4,654 | $7K | |
| 2023 | 4,616 | $4K | |
| 2024incomplete | 3,288 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 54% | 14,303 | 13,981 | $52K |
| D1351 | Sealant - per tooth | 46% | 17,978 | 5,310 | $44K |
| D1353 | 0% | 751 | 326 | $0.00 | |
| D1355 | 0% | 38 | 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 officialHUMBLE, JAMES (CHIEF FINANCIAL OFFICER)