Clinic
Confederated Tribes of the Goshute Reservation
Confederated Tribes of the Goshute Reservation was paid $4.54M by Medicaid between Mar 2018 and Dec 2024, across 21 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoCONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
SALT LAKE CITY, UT 84111
SALT LAKE CITY, UT 84111
33aNPI1174969125assigned 05/17/2013
33bProvider typeDental Clinic/Center
28Total paid$4.54M
24GClaims37,201
24DCodes billed21
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Utah
Rank by total paid#3 of 37
Median peer was paid$90K
This provider vs. median50×
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 | 3,782 | $282K | |
| 2019 | 4,893 | $408K | |
| 2020 | 5,089 | $513K | |
| 2021 | 5,505 | $536K | |
| 2022 | 3,479 | $330K | |
| 2023 | 7,571 | $1.18M | |
| 2024incomplete | 6,882 | $1.30M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 2,568 | 2,533 | $974K |
| D1110 | Prophylaxis - adult | 13% | 1,440 | 1,399 | $570K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 1,679 | 851 | $494K |
| D0140 | Limited oral evaluation - problem focused | 11% | 2,075 | 1,965 | $479K |
| D0330 | Panoramic radiographic image | 8.4% | 1,334 | 1,307 | $383K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.3% | 1,597 | 1,556 | $331K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.2% | 1,048 | 1,025 | $328K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.9% | 548 | 387 | $267K |
| D0274 | Bitewings - four radiographic images | 4.4% | 2,674 | 2,624 | $198K |
| D4355 | 3.3% | 338 | 329 | $149K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 276 | 184 | $88K |
| D1206 | Topical application of fluoride varnish | 1.9% | 3,186 | 3,099 | $85K |
9 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.5% | 247 | $67K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 6,448 | $42K |
| D2140 | <1% | 124 | $24K | |
| D0272 | Bitewings - two radiographic images | <1% | 158 | $22K |
| D1351 | Sealant - per tooth | <1% | 255 | $14K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 6,673 | $11K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $11K |
| D9110 | <1% | 16 | $6K | |
| D1330 | <1% | 4,501 | $519.00 |
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 officialTHATCHER, LINDA (BILLING)
Parent organizationCONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
| Provider | Location | Paid |
|---|---|---|
| Confederated Tribes of the Goshute Reservation | Salt Lake City, UT | $15.11M |
| Confederated Tribes of the Goshute Reservation | Salt Lake City, UT | $13.89M |
| Confederated Tribes of the Goshute Reservation | Salt Lake City, UT | $6.42M |
| Sacred Circle Healthcare | Salt Lake City, UT | $247K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.