Dental
LCR Dental Sugar House
LCR Dental Sugar House was paid $257K by Medicaid between Apr 2019 and Dec 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.
33Billing provider infoLCR DENTAL SUGAR HOUSE
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
33aNPI1518478742assigned 10/16/2017
33bProvider typePediatric Dentist
28Total paid$257K
24GClaims7,032
24DCodes billed18
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#82 of 152
Median peer was paid$311K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2019 | 55 | $751.18 | |
| 2020 | 129 | $3K | |
| 2021 | 1,507 | $54K | |
| 2022 | 2,145 | $90K | |
| 2023 | 1,753 | $56K | |
| 2024incomplete | 1,443 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 1,492 | 1,472 | $89K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,500 | 1,472 | $38K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 278 | 63 | $37K |
| D1351 | Sealant - per tooth | 10% | 748 | 103 | $26K |
| D1206 | Topical application of fluoride varnish | 9.0% | 1,824 | 1,803 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 108 | 56 | $12K |
| D0272 | Bitewings - two radiographic images | 2.5% | 505 | 496 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.1% | 35 | 25 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 57 | 34 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.5% | 131 | 54 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 40 | 40 | $3K |
| D2140 | <1% | 25 | 13 | $3K |
6 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 24 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 37 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 124 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12 | $553.11 |
| D0274 | Bitewings - four radiographic images | <1% | 40 | $471.36 |
| D9420 | <1% | 52 | $445.03 |
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 officialROMNEY, LAWRENCE (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| LCR Dental Rock Springs LLC | Rock Springs, WY | $1.14M |
| LCR Dental Rose Park LLC | Salt Lake City, UT | $220K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.