Clinic
South Hills Pediatric Dentistry
South Hills Pediatric Dentistry was paid $4K by Medicaid between May 2018 and Dec 2019, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoSOUTH HILLS PEDIATRIC DENTISTRY
RIVERTON, UT 84096
RIVERTON, UT 84096
33aNPI1114371804assigned 04/19/2016
33bProvider typeDental Clinic/Center
28Total paid$4K
24GClaims220
24DCodes billed3
24AFirst – last monthMay 2018 – Dec 2019
Compared with peers
Next to other Dental Clinic/Center providers in Utah
Rank by total paid#32 of 37
Median peer was paid$90K
This provider vs. median0.0×
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 | 143 | $3K | |
| 2019 | 77 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 45 | 45 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 78 | 78 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 97 | 96 | $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 officialSLOAN, BARTON (PEDIATRIC DENTIST)