Children's Corner Pediatric Dentistry

Children's Corner Pediatric Dentistry was paid $54K by Medicaid between Jan 2018 and Aug 2018, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 89% of everything it billed.

33Billing provider infoCHILDREN'S CORNER PEDIATRIC DENTISTRY
LINDON, UT 84042

33aNPI1023320728assigned 07/09/2010

33bProvider typePediatric Dentist

28Total paid$54K

24GClaims2,873

24DCodes billed8

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other Pediatric Dentist providers in Utah

Rank by total paid#124 of 152

Median peer was paid$311K

This provider vs. median0.2×

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	2,873	$54K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	89%	504	494	$48K
D0150	Comprehensive oral evaluation - new or established patient	5.3%	28	28	$3K
D0230	Intraoral - periapical each additional radiographic image	2.1%	488	478	$1K
D0220	Intraoral - periapical first radiographic image	1.5%	513	499	$809.09
D0272	Bitewings - two radiographic images	1.2%	279	272	$639.03
D1120	Dental cleaning, childProphylaxis - child	<1%	534	525	$521.78
D0274	Bitewings - four radiographic images	<1%	16	16	$73.14
D1206	Topical application of fluoride varnish	<1%	511	501	$15.51

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 officialSEGURA, STUART (PARTNER)