Dental
Albert M. Higgins, DDS, PLLC
Albert M. Higgins, DDS, PLLC was paid $4.11M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoALBERT M. HIGGINS, DDS, PLLC
PRESCOTT, AZ 86305
PRESCOTT, AZ 86305
33aNPI1942387204assigned 11/01/2006
33bProvider typePediatric Dentist
28Total paid$4.11M
24GClaims200,994
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#5 of 223
Median peer was paid$24K
This provider vs. median174×
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 | 8,232 | $265K | |
| 2019 | 5,546 | $432.58 | |
| 2020 | 32,549 | $372K | |
| 2021 | 43,357 | $600K | |
| 2022 | 40,284 | $681K | |
| 2023 | 44,150 | $1.35M | |
| 2024incomplete | 26,876 | $840K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 20,442 | 20,062 | $572K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 10,547 | 4,631 | $564K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 24,260 | 23,843 | $429K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 23,566 | 23,159 | $310K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.4% | 3,328 | 1,657 | $302K |
| D0272 | Bitewings - two radiographic images | 7.0% | 19,183 | 18,823 | $288K |
| D0220 | Intraoral - periapical first radiographic image | 6.0% | 24,870 | 23,895 | $248K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.0% | 4,375 | 1,973 | $245K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.5% | 5,231 | 2,832 | $226K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 25,147 | 21,921 | $213K |
| D1110 | Prophylaxis - adult | 3.5% | 4,605 | 4,532 | $146K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 3,725 | 3,638 | $116K |
16 more codes
| D1351 | Sealant - per tooth | 2.1% | 5,031 | $88K |
| D0274 | Bitewings - four radiographic images | 2.0% | 3,886 | $84K |
| D7140 | Extraction, erupted tooth or exposed root | 1.7% | 1,345 | $70K |
| D9248 | 1.4% | 1,289 | $57K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 3,165 | $53K |
| D1206 | Topical application of fluoride varnish | <1% | 2,856 | $38K |
| D2332 | <1% | 319 | $26K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 830 | $18K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 165 | $7K |
| D2330 | <1% | 77 | $3K | |
| D0330 | Panoramic radiographic image | <1% | 51 | $3K |
| D9222 | <1% | 383 | $72.97 | |
| D0603 | 0% | 3,286 | $0.00 | |
| D0602 | 0% | 6,910 | $0.00 | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 0% | 921 | $0.00 |
| D0601 | 0% | 1,201 | $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 officialHIGGINS, ALBERT (PRESIDENT)