Dental
Carmichael Pediatric Dentistry
Carmichael Pediatric Dentistry was paid $421K by Medicaid between Jan 2018 and Mar 2020, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 23% of everything it billed.
33Billing provider infoCARMICHAEL PEDIATRIC DENTISTRY
GILBERT, AZ 85297
GILBERT, AZ 85297
33aNPI1780955716assigned 01/23/2012
33bProvider typePediatric Dentist
28Total paid$421K
24GClaims19,312
24DCodes billed19
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#40 of 223
Median peer was paid$24K
This provider vs. median18×
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 | 8,231 | $187K | |
| 2019 | 9,346 | $210K | |
| 2020 | 1,735 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 23% | 3,067 | 2,948 | $99K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 821 | 359 | $58K |
| D1206 | Topical application of fluoride varnish | 13% | 3,349 | 3,221 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 2,432 | 2,361 | $53K |
| D0272 | Bitewings - two radiographic images | 7.8% | 1,985 | 1,896 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 710 | 663 | $25K |
| D0240 | 4.3% | 1,244 | 857 | $18K | |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 1,675 | 1,556 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 1,701 | 1,421 | $14K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.4% | 128 | 39 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 492 | 438 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 133 | 70 | $8K |
7 more codes
| D0274 | Bitewings - four radiographic images | 1.8% | 354 | $8K |
| D0330 | Panoramic radiographic image | 1.8% | 307 | $8K |
| D1110 | Prophylaxis - adult | 1.4% | 181 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 94 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 50 | $838.64 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 29 | $593.16 |
| D1330 | <1% | 560 | $52.40 |
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 officialCARMICHAEL, LONNY (OWNER/DDS)
| Provider | Location | Paid |
|---|---|---|
| Buckeye Pediatric Partners and Orthodontics | Buckeye, AZ | $1.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.