Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HERRIMAN PEDIATRIC DENTISTRY

NPI: 1376096966 · HERRIMAN, UT 84096 · Pediatric Dentist · NPI assigned 07/29/2016

$49K
Total Medicaid Paid
1,430
Total Claims
1,428
Beneficiaries
5
Codes Billed
2020-08
First Month
2023-09
Last Month

Provider Details

Authorized OfficialODION, CHARLES (OWNER)
NPI Enumeration Date07/29/2016

Related Entities

Other providers sharing the same authorized official: ODION, CHARLES

ProviderCityStateTotal Paid
SOUTH DAVIS PEDIATRIC DENTISTRY LLC BOUNTIFUL UT $66K
REDWOOD PEDIATRIC DENTISTRY TAYLORSVILLE UT $50K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 40 $2K
2021 358 $15K
2022 677 $23K
2023 355 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 350 350 $34K
D0272 Bitewings - two radiographic images 276 276 $6K
D1120 Prophylaxis - child 425 424 $5K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $3K
D1206 Topical application of fluoride varnish 366 365 $2K