Dental Depot of Surprise, PLLC
Dental Depot of Surprise, PLLC was paid $32K by Medicaid between Nov 2020 and Nov 2024, across 12 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 30% of everything it billed.
SURPRISE, AZ 85374
Next to other Dental Clinic/Center providers in Arizona
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 16 | $0.00 | |
| 2021 | 230 | $1K | |
| 2022 | 635 | $7K | |
| 2023 | 946 | $8K | |
| 2024incomplete | 1,400 | $16K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 30% | 566 | 477 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 27% | 1,001 | 825 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 1,264 | 650 | $6K |
| D0330 | Panoramic radiographic image | 8.4% | 112 | 83 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.7% | 40 | 40 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.9% | 53 | 52 | $1K |
| D0140 | Limited oral evaluation - problem focused | 2.9% | 53 | 28 | $923.85 |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 44 | 44 | $703.20 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 12 | 12 | $505.32 |
| D1110 | Prophylaxis - adult | 1.3% | 14 | 14 | $401.22 |
| D1206 | Topical application of fluoride varnish | <1% | 17 | 14 | $247.80 |
| D1999 | 0% | 51 | 40 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.