Dental
Southwest Kids Dentistry PLLC
Southwest Kids Dentistry PLLC was paid $138K by Medicaid between Oct 2018 and May 2021, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoSOUTHWEST KIDS DENTISTRY PLLC
TUCSON, AZ 85704
TUCSON, AZ 85704
33aNPI1740673268assigned 03/09/2015
33bProvider typePediatric Dentist
28Total paid$138K
24GClaims5,326
24DCodes billed13
24AFirst – last monthOct 2018 – May 2021
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#67 of 223
Median peer was paid$24K
This provider vs. median5.8×
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 | |
|---|---|---|---|
| 2018 | 323 | $6K | |
| 2019 | 1,669 | $41K | |
| 2020 | 2,313 | $63K | |
| 2021 | 1,021 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 1,186 | 1,135 | $42K |
| D1206 | Topical application of fluoride varnish | 17% | 1,355 | 1,291 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 520 | 495 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 770 | 742 | $18K |
| D0272 | Bitewings - two radiographic images | 7.9% | 684 | 651 | $11K |
| D0330 | Panoramic radiographic image | 5.9% | 254 | 246 | $8K |
| D1351 | Sealant - per tooth | 5.0% | 315 | 66 | $7K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.8% | 46 | 12 | $4K |
| D1110 | Prophylaxis - adult | 1.9% | 59 | 59 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 40 | 40 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 31 | 25 | $629.14 |
| D1354 | <1% | 36 | 13 | $370.42 |
1 more codes
| D0240 | <1% | 30 | $308.26 |
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 officialHOLLEN, KYLA (OWNER)