Clinic
Sun West Dental III, LLC Dba Sun West Dental
Sun West Dental III, LLC Dba Sun West Dental was paid $110.00 by Medicaid between Jan 2018 and Dec 2019, across 5 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 100% of everything it billed.
33Billing provider infoSUN WEST DENTAL III, LLC DBA SUN WEST DENTAL
CHANDLER, AZ 85224
CHANDLER, AZ 85224
33aNPI1699817213assigned 02/12/2007
33bProvider typeDental Clinic/Center
28Total paid$110.00
24GClaims200
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#59 of 70
Median peer was paid$7K
This provider vs. median0.0×
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 | 45 | $0.00 | |
| 2019 | 155 | $110.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 100% | 118 | 110 | $110.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 29 | 29 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 28 | 28 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 12 | 12 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 13 | 13 | $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 officialDALTON, TRACEY (CREDENTIALING SPECIALIST)
Parent organizationSUNWEST DENTAL CENTER III, LLC
| Provider | Location | Paid |
|---|---|---|
| Sun West Dental IV, LLC | Surprise, AZ | $55K |
| 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 | Mesa, AZ | $40.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.