Dental
Sun West Dental San Tan
Sun West Dental San Tan was paid $2K by Medicaid between May 2020 and Sep 2022, across 5 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 37% of everything it billed.
33Billing provider infoSUN WEST DENTAL SAN TAN
SAN TAN VALLEY, AZ 85143
SAN TAN VALLEY, AZ 85143
33aNPI1821459421assigned 03/10/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims242
24DCodes billed5
24AFirst – last monthMay 2020 – Sep 2022
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#238 of 530
Median peer was paid$920.17
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2020 | 13 | $51.01 | |
| 2021 | 47 | $166.47 | |
| 2022 | 182 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 37% | 124 | 117 | $572.94 |
| D0330 | Panoramic radiographic image | 20% | 28 | 27 | $315.36 |
| D0230 | Intraoral - periapical each additional radiographic image | 16% | 63 | 61 | $244.27 |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 12 | 12 | $230.73 |
| D0274 | Bitewings - four radiographic images | 12% | 15 | 15 | $184.23 |
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)
| 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 |
| 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 |
| Sun West Dental III, LLC | Mesa, AZ | $40.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.