Dental
Just for Kids Dentistry Lake Havasu
Just for Kids Dentistry Lake Havasu was paid $888K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoJUST FOR KIDS DENTISTRY LAKE HAVASU
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
33aNPI1932354974assigned 11/18/2008
33bProvider typeDentist
28Total paid$888K
24GClaims48,686
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#15 of 468
Median peer was paid$686.85
This provider vs. median1,293×
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 | 3,746 | $66K | |
| 2019 | 5,036 | $89K | |
| 2020 | 6,585 | $84K | |
| 2021 | 8,104 | $88K | |
| 2022 | 6,822 | $90K | |
| 2023 | 9,022 | $224K | |
| 2024incomplete | 9,371 | $248K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 5,547 | 5,458 | $177K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 6,156 | 6,043 | $135K |
| D1206 | Topical application of fluoride varnish | 13% | 6,834 | 6,728 | $112K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.9% | 9,998 | 6,989 | $88K |
| D0220 | Intraoral - periapical first radiographic image | 8.8% | 7,502 | 7,290 | $78K |
| D0272 | Bitewings - two radiographic images | 7.2% | 3,922 | 3,839 | $64K |
| D1110 | Prophylaxis - adult | 6.7% | 1,324 | 1,298 | $59K |
| D0274 | Bitewings - four radiographic images | 5.7% | 1,752 | 1,737 | $51K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.4% | 613 | 283 | $48K |
| D0330 | Panoramic radiographic image | 5.0% | 1,057 | 1,044 | $44K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 706 | 705 | $26K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 111 | 109 | $3K |
5 more codes
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 officialDICARLO, RONALD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Wild West Kids Dental Bullhead | Bullhead City, AZ | $858K |
| Just for Kids Dentistry Kingman PLLC | Kingman, AZ | $182K |
| Just for Kids Dentistry Bullhead, PLLC | Bullhead City, AZ | $182K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.