Dental
State of Utah, Department of Health
State of Utah, Department of Health was paid $1.28M by Medicaid between Jan 2018 and Aug 2020, across 26 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 18% of everything it billed.
33Billing provider infoSTATE OF UTAH, DEPARTMENT OF HEALTH
SALT LAKE CITY, UT 84114
SALT LAKE CITY, UT 84114
33aNPI1437252491assigned 09/06/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$1.28M
24GClaims36,736
24DCodes billed26
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#7 of 225
Median peer was paid$21K
This provider vs. median60×
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 | 21,225 | $799K | |
| 2019 | 11,716 | $356K | |
| 2020 | 3,795 | $127K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 18% | 4,984 | 1,776 | $228K |
| D0140 | Limited oral evaluation - problem focused | 16% | 2,200 | 1,968 | $204K |
| D5110 | 15% | 190 | 152 | $191K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,235 | 1,140 | $142K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.8% | 1,256 | 1,176 | $113K |
| D1110 | Prophylaxis - adult | 5.3% | 1,219 | 1,154 | $68K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.4% | 1,097 | 639 | $56K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 13,128 | 2,799 | $49K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 4,709 | 4,194 | $38K |
| D2140 | 2.6% | 849 | 512 | $33K | |
| D0274 | Bitewings - four radiographic images | 2.4% | 1,750 | 1,621 | $31K |
| D1351 | Sealant - per tooth | 2.2% | 923 | 182 | $28K |
14 more codes
| D2160 | 1.8% | 457 | $23K | |
| D2331 | 1.1% | 299 | $14K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 223 | $10K |
| D2335 | <1% | 125 | $9K | |
| D1206 | Topical application of fluoride varnish | <1% | 912 | $8K |
| D5120 | <1% | 159 | $8K | |
| D4355 | <1% | 178 | $8K | |
| D2330 | <1% | 141 | $5K | |
| D2332 | <1% | 81 | $5K | |
| D1120 | Dental cleaning, child | <1% | 279 | $4K |
| D0190 | <1% | 216 | $3K | |
| D0330 | Panoramic radiographic image | <1% | 24 | $2K |
| D2161 | <1% | 17 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 85 | $374.57 |
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 officialSUNDWALL, DAVID (EXECUTIVE DIRECTOR)