Dental
Copper Cove Pediatric Dentistry
Copper Cove Pediatric Dentistry was paid $48K by Medicaid between Nov 2018 and Oct 2022, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 96% of everything it billed.
33Billing provider infoCOPPER COVE PEDIATRIC DENTISTRY
SOUTH JORDAN, UT 84095
SOUTH JORDAN, UT 84095
33aNPI1134536907assigned 07/14/2014
33bProvider typePediatric Dentist
28Total paid$48K
24GClaims1,681
24DCodes billed8
24AFirst – last monthNov 2018 – Oct 2022
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#129 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 | 63 | $0.00 | |
| 2019 | 350 | $7K | |
| 2020 | 376 | $12K | |
| 2021 | 579 | $16K | |
| 2022 | 313 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 96% | 455 | 453 | $46K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.1% | 466 | 465 | $985.20 |
| D0272 | Bitewings - two radiographic images | 1.5% | 15 | 15 | $702.75 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 173 | 170 | $127.28 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 241 | 118 | $1.08 |
| D1206 | Topical application of fluoride varnish | 0% | 302 | 302 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 14 | 14 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 15 | 15 | $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 officialHARDY, TROY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Hardy Smiles Pediatric Dentistry | Lehi, UT | $145.87 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.