Clinic
North Phoenix Pediatric Dentistry, LLC
North Phoenix Pediatric Dentistry, LLC was paid $93K by Medicaid between Oct 2021 and Dec 2024, across 19 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 18% of everything it billed.
33Billing provider infoNORTH PHOENIX PEDIATRIC DENTISTRY, LLC
PHOENIX, AZ 85021
PHOENIX, AZ 85021
33aNPI1871098269assigned 03/27/2018
33bProvider typeDental Clinic/Center
28Total paid$93K
24GClaims10,472
24DCodes billed19
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#21 of 70
Median peer was paid$7K
This provider vs. median13×
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 | 141 | $2K | |
| 2022 | 1,051 | $18K | |
| 2023 | 1,106 | $18K | |
| 2024incomplete | 8,174 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 3,020 | 1,533 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 514 | 228 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,008 | 1,002 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 1,715 | 1,699 | $10K |
| D1206 | Topical application of fluoride varnish | 10% | 1,363 | 1,361 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 1,077 | 1,076 | $9K |
| D9248 | 5.6% | 207 | 203 | $5K | |
| D0274 | Bitewings - four radiographic images | 2.7% | 369 | 365 | $3K |
| D0272 | Bitewings - two radiographic images | 2.4% | 332 | 331 | $2K |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 196 | 194 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 98 | 98 | $2K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.5% | 40 | 12 | $1K |
7 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 87 | $1K |
| D1110 | Prophylaxis - adult | 1.3% | 186 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 31 | $510.77 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 145 | $443.88 |
| D1351 | Sealant - per tooth | <1% | 37 | $162.18 |
| D0330 | Panoramic radiographic image | <1% | 13 | $118.85 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 34 | $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 officialHEIMANN, WILLIAM (PRESIDENT/PEDIATRIC DENTIST)