Dental
Highbury Dental Management, LLC
Highbury Dental Management, LLC was paid $144K by Medicaid between Jul 2021 and Dec 2024, across 35 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoHIGHBURY DENTAL MANAGEMENT, LLC
GILBERT, AZ 85233
GILBERT, AZ 85233
33aNPI1962091454assigned 01/11/2021
33bProvider typePublic Health Dentist
28Total paid$144K
24GClaims154,429
24DCodes billed35
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Public Health Dentist providers in Arizona
Rank by total paid#3 of 11
Median peer was paid$11K
This provider vs. median14×
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.
Entity ProliferationAuthorized official GONZALES, EBONIE controls 15+ related entities in our dataset. Read more
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 | 8,544 | $14K | |
| 2022 | 50,227 | $52K | |
| 2023 | 46,993 | $47K | |
| 2024incomplete | 48,665 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 19,992 | 19,623 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 7,141 | 3,580 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 20,152 | 19,882 | $12K |
| D1206 | Topical application of fluoride varnish | 8.4% | 21,294 | 20,878 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.0% | 17,893 | 17,038 | $12K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.9% | 2,201 | 502 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 21,278 | 20,713 | $8K |
| D2934 | 3.6% | 465 | 110 | $5K | |
| D1351 | Sealant - per tooth | 3.0% | 6,173 | 2,148 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 2,819 | 2,806 | $4K |
| D0272 | Bitewings - two radiographic images | 2.8% | 7,854 | 7,749 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 1,784 | 1,002 | $4K |
23 more codes
| D0274 | Bitewings - four radiographic images | 2.4% | 5,413 | $3K |
| D3230 | 2.4% | 440 | $3K | |
| D0330 | Panoramic radiographic image | 2.2% | 1,917 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 3,483 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 732 | $2K |
| D1110 | Prophylaxis - adult | 1.6% | 3,178 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 1,202 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.2% | 510 | $2K |
| D9248 | <1% | 189 | $1K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 311 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,175 | $1K |
| D1354 | <1% | 648 | $856.92 | |
| D0240 | <1% | 392 | $759.10 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 337 | $745.70 |
| D0160 | <1% | 331 | $401.18 | |
| D7962 | <1% | 14 | $223.96 | |
| D3120 | <1% | 45 | $125.74 | |
| D2332 | 0% | 78 | $0.00 | |
| D1999 | 0% | 89 | $0.00 | |
| D0602 | 0% | 296 | $0.00 | |
| D0601 | 0% | 575 | $0.00 | |
| D0603 | 0% | 1,947 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 2,081 | $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 officialGONZALES, EBONIE (CREDENTIALING MNAGAER)
Parent organizationHIGHBURY DENTAL MANAGEMENT, LLC
| Provider | Location | Paid |
|---|---|---|
| Tasker Hatch Rowan LLC | Albuquerque, NM | $25.09M |
| Tasker Hatch Rowan LLC | Las Cruces, NM | $14.13M |
| Tasker Hatch Rowan LLC | Albuquerque, NM | $9.83M |
| Tasker Hatch Rowan LLC | Los Lunas, NM | $8.60M |
| Tasker Hatch Rowan LLC | Gallup, NM | $7.91M |
| Families First Pediatrics | Kaysville, UT | $7.73M |
| Tasker Hatch Rowan LLC | Deming, NM | $5.96M |
| Tasker Hatch Rowan LLC | Albuquerque, NM | $4.80M |
| Tasker, Hatch, Rowan, LLC | Albuquerque, NM | $4.47M |
| Tasker Hatch Rowan LLC | Albuquerque, NM | $4.34M |
| Tasker Hatch Rowan LLC | Albuquerque, NM | $2.40M |
| Tasker Hatch Rowan LLC | Albuquerque, NM | $1.48M |
| SJT Pediatric Dentistry LLC | Albuquerque, NM | $1.41M |
| Families First Pediatric Dentistry | Riverton, UT | $205K |
| Tasker Hatch Rowan LLC | Las Cruces, NM | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.