Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Sun West Dental Center III, LLC

Sun West Dental Center III, LLC was paid $777.00 by Medicaid between Feb 2018 and Sep 2020, across 5 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 48% of everything it billed.

33Billing provider infoSUN WEST DENTAL CENTER III, LLC
BUCKEYE, AZ 85326
33aNPI1669515300assigned 02/14/2007
33bProvider typeDentist
28Total paid$777.00
24GClaims818
24DCodes billed5
24AFirst – last monthFeb 2018 – Sep 2020
Compared with peers

Next to other Dentist providers in Arizona

Rank by total paid#231 of 468
Median peer was paid$686.85
This provider vs. median1.1×

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

$0$50$100$1502018201920202021202220232024
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
YearClaimsPaid
2018142$0.00
2019403$401.00
2020273$376.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0220 Intraoral - periapical first radiographic image 48% 485 426 $370.00
D0140 Limited oral evaluation - problem focused 26% 110 102 $200.00
D0230 Intraoral - periapical each additional radiographic image 12% 172 146 $96.00
D0274 Bitewings - four radiographic images 12% 39 37 $92.00
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.4% 12 12 $19.00

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 officialDALTON, TRACEY (CREDENTIALING SPECIALIST)
Parent organizationSUN WEST DENTAL CENTER III, LLC
Same official

Other billing entities under DALTON, TRACEY

Full network →
ProviderLocationPaid
Sun West Dental IV, LLCSurprise, AZ$55K
Sunwest Dental Center III, LLCTempe, AZ$12K
Sun West Dental III, LLCApache Junction, AZ$3K
Sun West Dental San TanSan Tan Valley, AZ$2K
Sunwest Dental Center, III LLCPrescott Valley, AZ$1K
Tempe Smiles Family Dental, PCTempe, AZ$541.64
Sun West Dental III, LLC Dba Sun West DentalChandler, AZ$110.00
Sun West Dental III, LLCMesa, AZ$40.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.