Dental
Herriman Pediatric Dentistry
Herriman Pediatric Dentistry was paid $49K by Medicaid between Aug 2020 and Sep 2023, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 69% of everything it billed.
33Billing provider infoHERRIMAN PEDIATRIC DENTISTRY
HERRIMAN, UT 84096
HERRIMAN, UT 84096
33aNPI1376096966assigned 07/29/2016
33bProvider typePediatric Dentist
28Total paid$49K
24GClaims1,430
24DCodes billed5
24AFirst – last monthAug 2020 – Sep 2023
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#127 of 152
Median peer was paid$311K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 40 | $2K | |
| 2021 | 358 | $15K | |
| 2022 | 677 | $23K | |
| 2023 | 355 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 69% | 350 | 350 | $34K |
| D0272 | Bitewings - two radiographic images | 12% | 276 | 276 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 425 | 424 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 13 | 13 | $3K |
| D1206 | Topical application of fluoride varnish | 3.9% | 366 | 365 | $2K |
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 officialODION, CHARLES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| South Davis Pediatric Dentistry LLC | Bountiful, UT | $66K |
| Redwood Pediatric Dentistry | Taylorsville, UT | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.