Casa Grande Pediatric Dentistry
Casa Grande Pediatric Dentistry was paid $247K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
CASA GRANDE, AZ 85122
Next to other Pediatric Dentist 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 | |
|---|---|---|---|
| 2018 | 1,157 | $24K | |
| 2019 | 1,369 | $32K | |
| 2020 | 1,093 | $23K | |
| 2021 | 1,956 | $19K | |
| 2022 | 3,543 | $15K | |
| 2023 | 3,229 | $12K | |
| 2024incomplete | 6,899 | $122K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 4,370 | 4,231 | $78K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 4,219 | 4,136 | $49K |
| D1206 | Topical application of fluoride varnish | 18% | 4,981 | 4,834 | $44K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 537 | 305 | $19K |
| D0272 | Bitewings - two radiographic images | 6.5% | 1,872 | 1,810 | $16K |
| D1351 | Sealant - per tooth | 3.5% | 760 | 238 | $9K |
| D1110 | Prophylaxis - adult | 3.2% | 433 | 429 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 663 | 590 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 316 | 297 | $5K |
| D0274 | Bitewings - four radiographic images | 1.0% | 175 | 175 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 155 | 155 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 94 | 64 | $2K |
6 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 19 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 303 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 43 | $1K |
| D1354 | <1% | 239 | $803.89 | |
| D0240 | <1% | 55 | $355.74 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12 | $12.35 |
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
| Provider | Location | Paid |
|---|---|---|
| Sunflower Diversified Services | Great Bend, KS | $28.95M |
| S.T.E.P's Developmental Academy, INC. | Charlotte, NC | $25.04M |
| Independent Opportunities, INC | Concord, NC | $22.09M |
| Life Emergency Medical Service, INC. | Enid, OK | $1.71M |
| Cayuga Emergency Physicians, LLP | Ithaca, NY | $1.26M |
| Fayetteville Orthopaedic Clinic, PA | Fayetteville, NC | $714K |
| Samaritan Emergency Physicians, LLP | Ashland, OH | $638K |
| JJS Optical LLC | Saint Paul, MN | $267K |
| Northern Michigan Emergency Physicians, LLP | West Branch, MI | $127K |
| Cayuga Emergency Physicians, LLP | Ithaca, NY | $80K |
| Northern Ohio Emergency Physicians LLP | Massillon, OH | $52K |
| Mountain Emergency Physicians LLP | Charleston, WV | $6K |
| Cayuga Emergency Physicians, LLP | Cortland, NY | $3K |
| Modern Therapy & Gas LLC | Lancaster, KY | $627.15 |
| DR. James K. Johnson JR. | Baltimore, MD | $276.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.