Dental
Kid-1 Pediatric Dentistry
Kid-1 Pediatric Dentistry was paid $1.57M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoKID-1 PEDIATRIC DENTISTRY
CASA GRANDE, AZ 85222
CASA GRANDE, AZ 85222
33aNPI1568689776assigned 04/19/2007
33bProvider typePediatric Dentist
28Total paid$1.57M
24GClaims76,252
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#17 of 223
Median peer was paid$24K
This provider vs. median66×
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 | 10,597 | $218K | |
| 2019 | 11,744 | $291K | |
| 2020 | 9,900 | $266K | |
| 2021 | 10,769 | $212K | |
| 2022 | 11,788 | $184K | |
| 2023 | 11,685 | $211K | |
| 2024incomplete | 9,769 | $183K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 9,983 | 9,756 | $267K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 11,651 | 11,383 | $207K |
| D1206 | Topical application of fluoride varnish | 13% | 15,048 | 14,679 | $197K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.5% | 2,568 | 1,728 | $149K |
| D1110 | Prophylaxis - adult | 5.5% | 2,861 | 2,768 | $87K |
| D1351 | Sealant - per tooth | 5.2% | 4,945 | 1,406 | $81K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.1% | 5,087 | 4,337 | $80K |
| D0330 | Panoramic radiographic image | 5.1% | 2,390 | 2,307 | $80K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.0% | 739 | 283 | $63K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 5,196 | 3,111 | $58K |
| D0274 | Bitewings - four radiographic images | 3.4% | 2,733 | 2,667 | $54K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 5,597 | 5,379 | $50K |
10 more codes
| D7140 | Extraction, erupted tooth or exposed root | 3.0% | 880 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 1,494 | $41K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 758 | $32K |
| D0272 | Bitewings - two radiographic images | 1.7% | 1,944 | $27K |
| D0145 | Oral evaluation for a patient under three years of age | 1.3% | 988 | $21K |
| D0140 | Limited oral evaluation - problem focused | <1% | 596 | $14K |
| D0240 | <1% | 618 | $6K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 85 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 38 | $3K |
| D1354 | <1% | 53 | $417.03 |
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 officialJENNINGS, JAMES (PRESIDENT)