Dental
White Peak Dental
White Peak Dental was paid $23K by Medicaid between May 2021 and Nov 2024, across 6 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 33% of everything it billed.
33Billing provider infoWHITE PEAK DENTAL
COTTONWOOD HEIGHTS, UT 84121
COTTONWOOD HEIGHTS, UT 84121
33aNPI1154963098assigned 10/11/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$23K
24GClaims1,590
24DCodes billed6
24AFirst – last monthMay 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#105 of 225
Median peer was paid$21K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2021 | 188 | $1K | |
| 2022 | 53 | $467.99 | |
| 2023 | 567 | $8K | |
| 2024incomplete | 782 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 33% | 831 | 331 | $8K |
| D0274 | Bitewings - four radiographic images | 29% | 217 | 201 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 22% | 444 | 402 | $5K |
| D1110 | Prophylaxis - adult | 6.6% | 27 | 27 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 57 | 56 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 14 | 14 | $557.05 |
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 officialHANSEN, JUSTIN (DENTIST)