Dental
Wild West Kids Dental Bullhead
Wild West Kids Dental Bullhead was paid $858K by Medicaid between May 2021 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoWILD WEST KIDS DENTAL BULLHEAD
BULLHEAD CITY, AZ 86442
BULLHEAD CITY, AZ 86442
33aNPI1932799053assigned 01/22/2021
33bProvider typePediatric Dentist
28Total paid$858K
24GClaims41,298
24DCodes billed19
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#26 of 223
Median peer was paid$24K
This provider vs. median36×
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 | |
|---|---|---|---|
| 2021 | 11,780 | $202K | |
| 2022 | 14,418 | $254K | |
| 2023 | 8,632 | $209K | |
| 2024incomplete | 6,468 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 4,036 | 3,984 | $145K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,825 | 3,796 | $101K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,435 | 549 | $93K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.8% | 6,892 | 5,509 | $67K |
| D0220 | Intraoral - periapical first radiographic image | 7.8% | 5,782 | 5,616 | $67K |
| D1208 | Topical application of fluoride, excluding varnish | 6.8% | 4,085 | 4,012 | $58K |
| D1110 | Prophylaxis - adult | 6.8% | 1,388 | 1,357 | $58K |
| D0274 | Bitewings - four radiographic images | 6.6% | 2,102 | 2,074 | $56K |
| D0272 | Bitewings - two radiographic images | 5.7% | 2,620 | 2,581 | $49K |
| D0330 | Panoramic radiographic image | 5.6% | 1,289 | 1,242 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.5% | 1,595 | 1,557 | $47K |
| D1206 | Topical application of fluoride varnish | 4.7% | 1,683 | 1,666 | $40K |
7 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 230 | $19K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 311 | $6K |
| D1351 | Sealant - per tooth | <1% | 63 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17 | $825.24 |
| D0601 | 0% | 82 | $0.00 | |
| D0602 | 0% | 3,328 | $0.00 | |
| D0603 | 0% | 535 | $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 officialDICARLO, RONALD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Just for Kids Dentistry Lake Havasu | Lake Havasu City, AZ | $888K |
| 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.