Dental
Children's Dental Village, P.C.
Children's Dental Village, P.C. was paid $21K by Medicaid between Oct 2019 and Nov 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.
33Billing provider infoCHILDREN'S DENTAL VILLAGE, P.C.
TEMPE, AZ 85283
TEMPE, AZ 85283
33aNPI1922177948assigned 11/06/2006
33bProvider typePediatric Dentist
28Total paid$21K
24GClaims12,256
24DCodes billed14
24AFirst – last monthOct 2019 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#115 of 223
Median peer was paid$24K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2019 | 104 | $311.10 | |
| 2020 | 1,127 | $6K | |
| 2021 | 2,230 | $5K | |
| 2022 | 1,995 | $4K | |
| 2023 | 3,312 | $6K | |
| 2024incomplete | 3,488 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 40% | 3,020 | 3,006 | $9K |
| D1206 | Topical application of fluoride varnish | 22% | 3,363 | 3,348 | $5K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 2,629 | 2,614 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.0% | 460 | 457 | $2K |
| D0272 | Bitewings - two radiographic images | 4.7% | 795 | 784 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 947 | 940 | $430.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 600 | 600 | $249.21 |
| D1110 | Prophylaxis - adult | <1% | 58 | 58 | $195.86 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 44 | 24 | $173.16 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 105 | 97 | $157.17 |
| D0330 | Panoramic radiographic image | <1% | 125 | 124 | $135.26 |
| D0274 | Bitewings - four radiographic images | <1% | 56 | 56 | $78.87 |
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 officialADAMS, BEVERLY (COO)