Dental
Lepetich, Clinton
Lepetich, Clinton was paid $584K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoLEPETICH, CLINTON
TEMPE, AZ 85284
TEMPE, AZ 85284
33aNPI1790102036assigned 03/25/2014
33bProvider typePediatric Dentist
28Total paid$584K
24GClaims29,454
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#31 of 223
Median peer was paid$24K
This provider vs. median25×
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 | 4,434 | $16K | |
| 2019 | 3,418 | $40K | |
| 2020 | 1,463 | $37K | |
| 2021 | 2,814 | $70K | |
| 2022 | 5,349 | $148K | |
| 2023 | 5,535 | $136K | |
| 2024incomplete | 6,441 | $137K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 4,771 | 4,693 | $139K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 4,822 | 4,738 | $100K |
| D1206 | Topical application of fluoride varnish | 14% | 5,596 | 5,485 | $84K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 610 | 294 | $38K |
| D0272 | Bitewings - two radiographic images | 5.5% | 2,172 | 2,114 | $32K |
| D0350 | 5.0% | 3,235 | 2,002 | $29K | |
| D0330 | Panoramic radiographic image | 4.8% | 698 | 684 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 380 | 192 | $23K |
| D1110 | Prophylaxis - adult | 3.9% | 548 | 537 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 879 | 851 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 1,721 | 1,670 | $16K |
| D0274 | Bitewings - four radiographic images | 2.6% | 599 | 587 | $15K |
8 more codes
| D1351 | Sealant - per tooth | 2.3% | 643 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 1,418 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 456 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 68 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 36 | $994.20 |
| D1321 | <1% | 30 | $364.64 | |
| D1330 | 0% | 742 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 30 | $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.