Dental
Children's Landing Pediatric Dentistry, PC
Children's Landing Pediatric Dentistry, PC was paid $4K by Medicaid between Jul 2024 and Oct 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoCHILDREN'S LANDING PEDIATRIC DENTISTRY, PC
WEST JORDAN, UT 84088
WEST JORDAN, UT 84088
33aNPI1609438357assigned 07/02/2019
33bProvider typePediatric Dentist
28Total paid$4K
24GClaims126
24DCodes billed6
24AFirst – last monthJul 2024 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#145 of 152
Median peer was paid$311K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 126 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 29 | 29 | $1K |
| D1206 | Topical application of fluoride varnish | 23% | 39 | 39 | $825.45 |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 14 | 14 | $599.90 |
| D0272 | Bitewings - two radiographic images | 13% | 16 | 16 | $462.40 |
| D0220 | Intraoral - periapical first radiographic image | 6.6% | 14 | 14 | $234.92 |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 14 | 14 | $182.28 |
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 officialTEW, MICHAEL (OWNER)