Dental
Deer Creek Childrens Dentistry
Deer Creek Childrens Dentistry was paid $34K by Medicaid between Aug 2021 and Mar 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 63% of everything it billed.
33Billing provider infoDEER CREEK CHILDRENS DENTISTRY
HEBER CITY, UT 84032
HEBER CITY, UT 84032
33aNPI1326584921assigned 01/06/2017
33bProvider typePediatric Dentist
28Total paid$34K
24GClaims1,307
24DCodes billed6
24AFirst – last monthAug 2021 – Mar 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#134 of 152
Median peer was paid$311K
This provider vs. median0.1×
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 | 171 | $4K | |
| 2022 | 704 | $20K | |
| 2023 | 328 | $8K | |
| 2024incomplete | 104 | $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 | 63% | 264 | 264 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 250 | 250 | $5K |
| D1206 | Topical application of fluoride varnish | 7.3% | 270 | 270 | $2K |
| D0272 | Bitewings - two radiographic images | 7.1% | 158 | 158 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.6% | 174 | 173 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 191 | 189 | $999.71 |
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 officialWHITE, TRAVIS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| White Smiles Pediatric Dentistry | Vernal, UT | $1.21M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.