Clinic
Central Valley Dental Care LLC
Central Valley Dental Care LLC was paid $332K by Medicaid between Oct 2021 and Dec 2024, across 13 billing codes. Its largest line is D0330, Panoramic radiographic image — 18% of everything it billed.
33Billing provider infoCENTRAL VALLEY DENTAL CARE LLC
MESA, AZ 85206
MESA, AZ 85206
33aNPI1821607342assigned 07/30/2020
33bProvider typeDental Clinic/Center
28Total paid$332K
24GClaims4,735
24DCodes billed13
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#12 of 70
Median peer was paid$7K
This provider vs. median48×
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 | |
|---|---|---|---|
| 2021 | 251 | $15K | |
| 2022 | 1,385 | $116K | |
| 2023 | 1,462 | $97K | |
| 2024incomplete | 1,637 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 18% | 685 | 620 | $60K |
| D1110 | Prophylaxis - adult | 14% | 589 | 561 | $48K |
| D2740 | Crown - porcelain/ceramic | 13% | 79 | 53 | $43K |
| D0274 | Bitewings - four radiographic images | 13% | 797 | 723 | $42K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 256 | 126 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 643 | 582 | $38K |
| D1206 | Topical application of fluoride varnish | 5.7% | 711 | 675 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.4% | 117 | 71 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 307 | 303 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 434 | 413 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 77 | 77 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | 25 | $2K |
1 more codes
| D1120 | Dental cleaning, child | <1% | 15 | $844.35 |
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 officialBIGLER, JOHN (OWNER/MANAGER)