Dental
Sierra Sky Dental LLC
Sierra Sky Dental LLC was paid $4K by Medicaid between Apr 2018 and Aug 2024, across 10 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 48% of everything it billed.
33Billing provider infoSIERRA SKY DENTAL LLC
PHOENIX, AZ 85031
PHOENIX, AZ 85031
33aNPI1609110915assigned 11/27/2012
33bProvider typePublic Health Dentist
28Total paid$4K
24GClaims2,182
24DCodes billed10
24AFirst – last monthApr 2018 – Aug 2024
Compared with peers
Next to other Public Health Dentist providers in Arizona
Rank by total paid#7 of 11
Median peer was paid$11K
This provider vs. median0.3×
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 | 238 | $0.00 | |
| 2019 | 463 | $62.80 | |
| 2020 | 297 | $212.00 | |
| 2021 | 283 | $479.89 | |
| 2022 | 324 | $1K | |
| 2023 | 450 | $2K | |
| 2024incomplete | 127 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 48% | 642 | 606 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 31% | 1,166 | 1,074 | $1K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 9.1% | 60 | 39 | $323.60 |
| D2950 | 4.6% | 14 | 12 | $162.68 | |
| D1206 | Topical application of fluoride varnish | 2.3% | 47 | 46 | $80.09 |
| D1120 | Dental cleaning, childProphylaxis - child | 2.1% | 14 | 14 | $75.86 |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 30 | 29 | $52.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.2% | 28 | 28 | $44.30 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 169 | 140 | $7.40 |
| D0330 | Panoramic radiographic image | 0% | 12 | 12 | $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 officialRUIZ, LORENA (OFFICE MANAGER)