Clinic
Seasons Sage
Seasons Sage was paid $7K by Medicaid between Dec 2022 and Feb 2023, across 8 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoSEASONS SAGE
CHINO VALLEY, AZ 86323
CHINO VALLEY, AZ 86323
33aNPI1972085660assigned 08/30/2018
33bProvider typeDental Clinic/Center
28Total paid$7K
24GClaims247
24DCodes billed8
24AFirst – last monthDec 2022 – Feb 2023
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#39 of 70
Median peer was paid$7K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2022 | 67 | $2K | |
| 2023 | 180 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 18 | 12 | $1K |
| D1110 | Prophylaxis - adult | 19% | 29 | 29 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 49 | 48 | $832.31 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 32 | 32 | $822.62 |
| D0210 | Intraoral - complete series of radiographic images | 11% | 12 | 12 | $726.48 |
| D0220 | Intraoral - periapical first radiographic image | 11% | 59 | 55 | $696.30 |
| D0274 | Bitewings - four radiographic images | 7.4% | 16 | 16 | $478.99 |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 32 | 17 | $344.59 |
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 officialFRAUSTO, DAVID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Bradshaw Mountain Family Dental Group PC | Prescott Valley, AZ | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.