Dental
Sun West Dental III, LLC
Sun West Dental III, LLC was paid $40.00 by Medicaid between Mar 2018 and Sep 2020, across 1 billing code. Its largest line is D0220, Intraoral - periapical first radiographic image — 100% of everything it billed.
33Billing provider infoSUN WEST DENTAL III, LLC
MESA, AZ 85203
MESA, AZ 85203
33aNPI1790827699assigned 02/14/2007
33bProvider typeDentist
28Total paid$40.00
24GClaims37
24DCodes billed1
24AFirst – last monthMar 2018 – Sep 2020
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#302 of 468
Median peer was paid$686.85
This provider vs. median0.1×
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 | 12 | $0.00 | |
| 2020 | 25 | $40.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 100% | 37 | 37 | $40.00 |
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 officialDALTON, TRACEY (CREDENTIALING SPECIALIST)
Parent organizationSUN WEST DENTAL CENTER III, LLC
| Provider | Location | Paid |
|---|---|---|
| Sun West Dental IV, LLC | Surprise, AZ | $55K |
| Sunwest Dental Center III, LLC | Tempe, AZ | $12K |
| Sun West Dental III, LLC | Apache Junction, AZ | $3K |
| Sun West Dental San Tan | San Tan Valley, AZ | $2K |
| Sunwest Dental Center, III LLC | Prescott Valley, AZ | $1K |
| Sun West Dental Center III, LLC | Buckeye, AZ | $777.00 |
| Tempe Smiles Family Dental, PC | Tempe, AZ | $541.64 |
| Sun West Dental III, LLC Dba Sun West Dental | Chandler, AZ | $110.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.