Dental
Sun West Dental IV, LLC
Sun West Dental IV, LLC was paid $55K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 34% of everything it billed.
33Billing provider infoSUN WEST DENTAL IV, LLC
SURPRISE, AZ 85374
SURPRISE, AZ 85374
33aNPI1689716508assigned 02/14/2007
33bProvider typeDentist
28Total paid$55K
24GClaims4,799
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#87 of 468
Median peer was paid$686.85
This provider vs. median81×
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 | 1,061 | $13K | |
| 2019 | 979 | $16K | |
| 2020 | 1,165 | $11K | |
| 2021 | 857 | $9K | |
| 2022 | 520 | $5K | |
| 2023 | 128 | $1K | |
| 2024incomplete | 89 | $591.56 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 34% | 946 | 908 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 27% | 2,284 | 2,168 | $15K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 21% | 177 | 66 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.0% | 952 | 853 | $4K |
| D0274 | Bitewings - four radiographic images | 3.4% | 155 | 152 | $2K |
| D0330 | Panoramic radiographic image | 2.9% | 58 | 56 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.8% | 64 | 64 | $985.10 |
| D1110 | Prophylaxis - adult | 1.3% | 36 | 36 | $718.96 |
| D1206 | Topical application of fluoride varnish | <1% | 79 | 78 | $415.28 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 15 | 15 | $291.48 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | 14 | $178.78 |
| D1999 | <1% | 19 | 14 | $3.00 |
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 (DIRECTOR OF ADMINISTRATION)
| Provider | Location | Paid |
|---|---|---|
| Sunwest Dental Center III, LLC | Tempe, AZ | $12K |
| Sun West Dental III, LLC | Apache Junction, AZ | $3K |
| Sun West Dental San Tan | San Tan Valley, AZ | $2K |
| Sunwest Dental Center, III LLC | Prescott Valley, AZ | $1K |
| Sun West Dental Center III, LLC | Buckeye, AZ | $777.00 |
| Tempe Smiles Family Dental, PC | Tempe, AZ | $541.64 |
| Sun West Dental III, LLC Dba Sun West Dental | Chandler, AZ | $110.00 |
| Sun West Dental III, LLC | Mesa, AZ | $40.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.