Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Utah Wisdom Teeth, LLC

Utah Wisdom Teeth, LLC was paid $6K by Medicaid between Jul 2018 and Jul 2018, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 100% of everything it billed.

33Billing provider infoUTAH WISDOM TEETH, LLC
SANDY, UT 84094
33aNPI1568974434assigned 10/31/2017
28Total paid$6K
24GClaims28
24DCodes billed2
24AFirst – last monthJul 2018 – Jul 2018
Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Utah

Rank by total paid#12 of 21
Median peer was paid$6K
This provider vs. median0.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SMITH, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201828$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 100% 14 12 $6K
D0330 Panoramic radiographic image 0% 14 12 $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 officialSMITH, JOHN (MANAGING MEMBER)
Same official

Other billing entities under SMITH, JOHN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.