Dental
General Dentistry 4 Kids-Glendale PLLC
General Dentistry 4 Kids-Glendale PLLC was paid $634K by Medicaid between Jan 2018 and Jun 2021, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoGENERAL DENTISTRY 4 KIDS-GLENDALE PLLC
PHOENIX, AZ 85051
PHOENIX, AZ 85051
33aNPI1770927410assigned 04/24/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$634K
24GClaims80,191
24DCodes billed25
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#29 of 530
Median peer was paid$920.17
This provider vs. median689×
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 | 17,195 | $145K | |
| 2019 | 22,204 | $195K | |
| 2020 | 24,921 | $166K | |
| 2021 | 15,871 | $129K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 12,660 | 12,560 | $128K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 3,012 | 1,504 | $77K |
| D1206 | Topical application of fluoride varnish | 12% | 15,046 | 14,911 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 11,805 | 11,704 | $69K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.2% | 1,029 | 377 | $39K |
| D0274 | Bitewings - four radiographic images | 5.9% | 5,767 | 5,709 | $37K |
| D0272 | Bitewings - two radiographic images | 5.0% | 6,431 | 6,368 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 2,010 | 1,983 | $28K |
| D1110 | Prophylaxis - adult | 4.0% | 1,966 | 1,943 | $25K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 977 | 621 | $22K |
| D0330 | Panoramic radiographic image | 2.6% | 1,510 | 1,492 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 4,017 | 3,944 | $14K |
13 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 581 | $13K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.8% | 274 | $12K |
| D0145 | Oral evaluation for a patient under three years of age | 1.7% | 1,204 | $11K |
| D1351 | Sealant - per tooth | 1.5% | 1,287 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 2,659 | $9K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 1,139 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 513 | $5K |
| D9248 | <1% | 110 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 53 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 137 | $708.41 |
| D0602 | <1% | 4,475 | $0.30 | |
| D0603 | 0% | 1,236 | $0.00 | |
| D0601 | 0% | 293 | $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 officialROBERTS, BRAD (OWNER/DENTIST)