Dental
Flagstaff Pediatric Dentistry, P.C.
Flagstaff Pediatric Dentistry, P.C. was paid $65K by Medicaid between Oct 2019 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoFLAGSTAFF PEDIATRIC DENTISTRY, P.C.
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
33aNPI1710011374assigned 03/15/2007
33bProvider typePediatric Dentist
28Total paid$65K
24GClaims6,701
24DCodes billed16
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#87 of 223
Median peer was paid$24K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2019 | 896 | $0.00 | |
| 2020 | 2,839 | $0.00 | |
| 2021 | 1,660 | $0.00 | |
| 2024incomplete | 1,306 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 960 | 950 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,186 | 1,174 | $14K |
| D1206 | Topical application of fluoride varnish | 17% | 1,208 | 1,195 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 219 | 141 | $8K |
| D1110 | Prophylaxis - adult | 8.2% | 226 | 223 | $5K |
| D1354 | 6.6% | 1,586 | 344 | $4K | |
| D0272 | Bitewings - two radiographic images | 4.4% | 375 | 370 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 89 | 55 | $2K |
| D0274 | Bitewings - four radiographic images | 0% | 19 | 19 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 25 | 25 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 13 | 13 | $0.00 |
| D0603 | 0% | 460 | 456 | $0.00 |
4 more codes
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 officialDOWELL, ALAN (PRESIDENT)