Dental
Scottsdale Pediatric Dental Associates INC
Scottsdale Pediatric Dental Associates INC was paid $4K by Medicaid between Nov 2021 and Jul 2024, across 6 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 64% of everything it billed.
33Billing provider infoSCOTTSDALE PEDIATRIC DENTAL ASSOCIATES INC
SCOTTSDALE, AZ 85260
SCOTTSDALE, AZ 85260
33aNPI1578126470assigned 04/16/2019
33bProvider typePediatric Dentist
28Total paid$4K
24GClaims333
24DCodes billed6
24AFirst – last monthNov 2021 – Jul 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#157 of 223
Median peer was paid$24K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 31 | $252.54 | |
| 2022 | 86 | $896.70 | |
| 2023 | 138 | $1K | |
| 2024incomplete | 78 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 64% | 165 | 143 | $3K |
| D1320 | 13% | 76 | 65 | $538.02 | |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 14 | 14 | $446.16 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.0% | 15 | 15 | $383.04 |
| D1321 | 3.6% | 29 | 27 | $153.72 | |
| D0603 | 0% | 34 | 28 | $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 officialKASSISIEH, SULIEMAN (PRESIDENT)