Dental
Goodyear Modern Dentistry, LLP
Goodyear Modern Dentistry, LLP was paid $239K by Medicaid between Dec 2018 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoGOODYEAR MODERN DENTISTRY, LLP
GOODYEAR, AZ 85395
GOODYEAR, AZ 85395
33aNPI1912497504assigned 05/18/2018
33bProvider typeDentist
28Total paid$239K
24GClaims31,760
24DCodes billed21
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#37 of 468
Median peer was paid$686.85
This provider vs. median348×
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 | 27 | $0.00 | |
| 2019 | 186 | $187.35 | |
| 2020 | 2,055 | $10K | |
| 2021 | 4,328 | $24K | |
| 2022 | 7,770 | $61K | |
| 2023 | 9,193 | $90K | |
| 2024incomplete | 8,201 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 3,616 | 3,538 | $45K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 5,185 | 3,052 | $27K |
| D1206 | Topical application of fluoride varnish | 11% | 4,114 | 4,024 | $26K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 589 | 144 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 2,729 | 2,682 | $24K |
| D0220 | Intraoral - periapical first radiographic image | 6.4% | 3,544 | 3,424 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.3% | 1,128 | 1,090 | $15K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.3% | 451 | 225 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | 3.7% | 272 | 129 | $9K |
| D1351 | Sealant - per tooth | 3.5% | 966 | 273 | $8K |
| D0274 | Bitewings - four radiographic images | 2.6% | 651 | 633 | $6K |
| D1110 | Prophylaxis - adult | 2.1% | 351 | 341 | $5K |
9 more codes
| D0272 | Bitewings - two radiographic images | 2.0% | 812 | $5K |
| D0330 | Panoramic radiographic image | 1.8% | 511 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 702 | $4K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 309 | $4K |
| D0350 | 1.1% | 3,713 | $3K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 151 | $896.13 |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 26 | $553.08 |
| D1354 | <1% | 36 | $315.84 | |
| D1330 | 0% | 1,904 | $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 officialPEMA, RAKESH (OWNER)