LC Dental Care LLC

LC Dental Care LLC was paid $39K by Medicaid between Jan 2018 and Sep 2022, across 12 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 32% of everything it billed.

33Billing provider infoLC DENTAL CARE LLC
SALT LAKE CITY, UT 84107

33aNPI1477532471assigned 01/10/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$39K

24GClaims2,608

24DCodes billed12

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#86 of 225

Median peer was paid$21K

This provider vs. median1.8×

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	1,229	$15K
2019	1,120	$24K
2020	133	$490.69
2021	17	$67.11
2022	109	$141.53

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	32%	118	110	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	80	78	$10K
D2150	Silver amalgam - two surfaces, primary or permanent	15%	73	26	$6K
D1110	Prophylaxis - adult	8.0%	204	195	$3K
D0274	Bitewings - four radiographic images	6.4%	281	271	$3K
D2140		4.4%	34	16	$2K
D0220	Intraoral - periapical first radiographic image	3.8%	635	578	$2K
D2160		2.3%	35	16	$907.58
D0140	Limited oral evaluation - problem focused	1.8%	13	12	$719.29
D0230	Intraoral - periapical each additional radiographic image	<1%	1,047	366	$285.76
D0330	Panoramic radiographic image	<1%	56	50	$27.73
D1206	Topical application of fluoride varnish	0%	32	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 officialDELAHUNT, LISA (OWNER/MANAGER)