Clinic
Dental and Braces Dysart LLC
Dental and Braces Dysart LLC was paid $2K by Medicaid between Mar 2023 and Jul 2024, across 5 billing codes. Its largest line is D4346, — 27% of everything it billed.
33Billing provider infoDENTAL AND BRACES DYSART LLC
AVONDALE, AZ 85323
AVONDALE, AZ 85323
33aNPI1629676903assigned 10/09/2020
33bProvider typeDental Clinic/Center
28Total paid$2K
24GClaims121
24DCodes billed5
24AFirst – last monthMar 2023 – Jul 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#47 of 70
Median peer was paid$7K
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 | |
|---|---|---|---|
| 2023 | 39 | $526.38 | |
| 2024incomplete | 82 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4346 | 27% | 13 | 13 | $657.00 | |
| D0220 | Intraoral - periapical first radiographic image | 23% | 57 | 54 | $562.67 |
| D0274 | Bitewings - four radiographic images | 20% | 26 | 26 | $479.95 |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 12 | 12 | $427.78 |
| D0330 | Panoramic radiographic image | 12% | 13 | 13 | $289.61 |
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 officialRAMOS, ELIZABETH (CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Dental and Braces Laveen | Laveen, AZ | $11K |
| Transporte Critico Del Norte | Sabana Hoyos, PR | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.