Dental
Kids Town Pediatric Dentistry
Kids Town Pediatric Dentistry was paid $104K by Medicaid between Mar 2018 and Dec 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoKIDS TOWN PEDIATRIC DENTISTRY
LAYTON, UT 84040
LAYTON, UT 84040
33aNPI1356607493assigned 04/03/2012
33bProvider typePediatric Dentist
28Total paid$104K
24GClaims4,125
24DCodes billed11
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#112 of 152
Median peer was paid$311K
This provider vs. median0.3×
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 | 74 | $394.34 | |
| 2022 | 376 | $13K | |
| 2023 | 1,838 | $44K | |
| 2024incomplete | 1,837 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 736 | 729 | $27K |
| D1206 | Topical application of fluoride varnish | 24% | 775 | 765 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 695 | 688 | $17K |
| D0272 | Bitewings - two radiographic images | 14% | 626 | 618 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 8.8% | 607 | 597 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 562 | 553 | $6K |
| D0330 | Panoramic radiographic image | 1.8% | 27 | 27 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 37 | 37 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 17 | 17 | $602.79 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | 12 | $369.07 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 30 | 30 | $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 officialPACKHAM, BRETT (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Kids Town Pediatric Dentistry of Syracuse | Syracuse, UT | $59K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.