Dental
Around the Mountain Pediatric Dentistry PLLC
Around the Mountain Pediatric Dentistry PLLC was paid $4.56M by Medicaid between Aug 2018 and Dec 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoAROUND THE MOUNTAIN PEDIATRIC DENTISTRY PLLC
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
33aNPI1831344167assigned 12/01/2008
33bProvider typePediatric Dentist
28Total paid$4.56M
24GClaims244,947
24DCodes billed25
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#4 of 223
Median peer was paid$24K
This provider vs. median194×
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 | 177 | $1K | |
| 2019 | 2,949 | $14K | |
| 2020 | 37,167 | $42K | |
| 2021 | 47,329 | $9K | |
| 2022 | 41,120 | $123K | |
| 2023 | 58,542 | $2.14M | |
| 2024incomplete | 57,663 | $2.23M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 29,004 | 28,594 | $845K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 27,053 | 26,667 | $511K |
| D1206 | Topical application of fluoride varnish | 11% | 33,359 | 32,850 | $482K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.9% | 4,435 | 1,452 | $450K |
| D1354 | 8.7% | 22,325 | 8,167 | $395K | |
| D1351 | Sealant - per tooth | 7.0% | 18,147 | 5,269 | $319K |
| D7140 | Extraction, erupted tooth or exposed root | 5.1% | 3,649 | 1,624 | $234K |
| D0272 | Bitewings - two radiographic images | 4.6% | 13,854 | 13,642 | $210K |
| D1110 | Prophylaxis - adult | 4.3% | 5,565 | 5,458 | $198K |
| D0330 | Panoramic radiographic image | 3.1% | 3,487 | 3,430 | $143K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 2,766 | 2,714 | $117K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 2,481 | 1,466 | $114K |
13 more codes
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2.4% | 2,050 | $111K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 9,364 | $87K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 4,732 | $72K |
| D0274 | Bitewings - four radiographic images | 1.5% | 2,786 | $69K |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 2,307 | $63K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 917 | $49K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,627 | $39K |
| D9222 | <1% | 482 | $28K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 282 | $18K |
| D0140 | Limited oral evaluation - problem focused | <1% | 298 | $5K |
| D1353 | <1% | 554 | $21.00 | |
| D1330 | <1% | 24,798 | $2.00 | |
| D0603 | 0% | 25,625 | $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 officialROBERTSON, KIRK (OWNER)