Dental
Chandler Kidiatric Dental
Chandler Kidiatric Dental was paid $28K by Medicaid between Jan 2020 and Oct 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.
33Billing provider infoCHANDLER KIDIATRIC DENTAL
CHANDLER, AZ 85248
CHANDLER, AZ 85248
33aNPI1598118713assigned 07/22/2016
33bProvider typePediatric Dentist
28Total paid$28K
24GClaims7,875
24DCodes billed14
24AFirst – last monthJan 2020 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#106 of 223
Median peer was paid$24K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2020 | 378 | $0.00 | |
| 2021 | 1,585 | $780.24 | |
| 2022 | 2,059 | $8K | |
| 2023 | 2,182 | $8K | |
| 2024incomplete | 1,671 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 34% | 1,464 | 1,410 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,145 | 1,107 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 1,114 | 1,074 | $3K |
| D0272 | Bitewings - two radiographic images | 11% | 845 | 816 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 8.1% | 1,195 | 1,143 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.3% | 1,041 | 959 | $2K |
| D0240 | 3.0% | 205 | 136 | $840.28 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 96 | 92 | $631.65 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 110 | 87 | $413.02 |
| D1206 | Topical application of fluoride varnish | 1.0% | 92 | 89 | $282.93 |
| D0330 | Panoramic radiographic image | <1% | 16 | 16 | $263.03 |
| D0274 | Bitewings - four radiographic images | <1% | 34 | 33 | $154.59 |
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 officialVILLANUEVA, WALTER (OWNER AND DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Kidiatric Dentistry, PLLC | Gilbert, AZ | $157K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.