Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH HILLS PEDIATRIC DENTISTRY

NPI: 1114371804 · RIVERTON, UT 84096 · Dental Clinic/Center · NPI assigned 04/19/2016

$4K
Total Medicaid Paid
220
Total Claims
219
Beneficiaries
3
Codes Billed
2018-05
First Month
2019-12
Last Month

Provider Details

Authorized OfficialSLOAN, BARTON (PEDIATRIC DENTIST)
NPI Enumeration Date04/19/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 143 $3K
2019 77 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 45 45 $4K
D1120 Prophylaxis - child 78 78 $0.00
D1206 Topical application of fluoride varnish 97 96 $0.00