Dental
Arizona Dental Specialty Group PLLC
Arizona Dental Specialty Group PLLC was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoARIZONA DENTAL SPECIALTY GROUP PLLC
PHOENIX, AZ 85018
PHOENIX, AZ 85018
33aNPI1801125786assigned 12/23/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$1.07M
24GClaims160,224
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#20 of 530
Median peer was paid$920.17
This provider vs. median1,162×
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 | 20,819 | $71K | |
| 2019 | 19,190 | $95K | |
| 2020 | 22,963 | $76K | |
| 2021 | 28,511 | $142K | |
| 2022 | 24,055 | $241K | |
| 2023 | 24,041 | $252K | |
| 2024incomplete | 20,645 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 18,704 | 18,094 | $173K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 22,506 | 21,849 | $136K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 6,287 | 2,943 | $127K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 24,434 | 23,627 | $108K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.1% | 2,518 | 878 | $76K |
| D1110 | Prophylaxis - adult | 6.2% | 5,789 | 5,624 | $66K |
| D0272 | Bitewings - two radiographic images | 5.3% | 13,209 | 12,811 | $57K |
| D0274 | Bitewings - four radiographic images | 4.9% | 6,438 | 6,212 | $52K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 10,955 | 10,521 | $38K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.2% | 1,691 | 705 | $34K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.1% | 1,639 | 935 | $33K |
| D1351 | Sealant - per tooth | 2.8% | 4,481 | 1,206 | $30K |
16 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 9,877 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 2,030 | $24K |
| D0330 | Panoramic radiographic image | 2.2% | 3,541 | $24K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 1,828 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 703 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 3,157 | $10K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 369 | $8K |
| D9248 | <1% | 529 | $8K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 509 | $7K |
| D1999 | <1% | 8,476 | $6K | |
| D2330 | <1% | 44 | $220.68 | |
| D0270 | <1% | 17 | $81.35 | |
| D0602 | 0% | 2,245 | $0.00 | |
| D0603 | 0% | 3,456 | $0.00 | |
| D0601 | 0% | 4,776 | $0.00 | |
| D9995 | 0% | 16 | $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 officialHAASLO, DAVID (MEMBER)