Dental
Higgins, Albert
Higgins, Albert was paid $223K by Medicaid between Jan 2018 and Feb 2020, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoHIGGINS, ALBERT
PHOENIX, AZ 85053
PHOENIX, AZ 85053
33aNPI1831268192assigned 11/08/2006
33bProvider typePediatric Dentist
28Total paid$223K
24GClaims19,176
24DCodes billed22
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#54 of 223
Median peer was paid$24K
This provider vs. median9.5×
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 | 9,419 | $41K | |
| 2019 | 9,412 | $172K | |
| 2020 | 345 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 1,931 | 777 | $54K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 1,964 | 1,913 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.8% | 974 | 454 | $20K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 8.0% | 821 | 302 | $18K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.2% | 594 | 246 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 801 | 777 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 5.6% | 2,194 | 2,136 | $13K |
| D0272 | Bitewings - two radiographic images | 5.6% | 1,834 | 1,783 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 1,872 | 1,830 | $12K |
| D1351 | Sealant - per tooth | 2.9% | 908 | 263 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 1,483 | 1,354 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.3% | 303 | 186 | $5K |
10 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 2.2% | 1,521 | $5K |
| D1110 | Prophylaxis - adult | 1.7% | 329 | $4K |
| D9248 | 1.6% | 298 | $4K | |
| D2332 | 1.4% | 63 | $3K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 561 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 1.0% | 149 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 282 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 230 | $813.35 |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | $309.96 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 39 | $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.