Clinic
Dentistry for Children Sandy PC
Dentistry for Children Sandy PC was paid $311K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 74% of everything it billed.
33Billing provider infoDENTISTRY FOR CHILDREN SANDY PC
SANDY, UT 84070
SANDY, UT 84070
33aNPI1619278785assigned 11/05/2010
33bProvider typeDental Clinic/Center
28Total paid$311K
24GClaims10,574
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in Utah
Rank by total paid#12 of 37
Median peer was paid$90K
This provider vs. median3.5×
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 | 3,350 | $78K | |
| 2019 | 1,018 | $35K | |
| 2020 | 845 | $30K | |
| 2021 | 1,064 | $37K | |
| 2022 | 2,274 | $74K | |
| 2023 | 1,256 | $35K | |
| 2024incomplete | 767 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 74% | 2,449 | 2,423 | $230K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.7% | 2,341 | 2,313 | $21K |
| D0272 | Bitewings - two radiographic images | 5.1% | 1,897 | 1,874 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 162 | 162 | $14K |
| D1206 | Topical application of fluoride varnish | 4.5% | 2,762 | 2,728 | $14K |
| D1351 | Sealant - per tooth | 2.9% | 219 | 41 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 19 | 12 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 157 | 76 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 212 | 194 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 79 | 79 | $471.37 |
| D0330 | Panoramic radiographic image | <1% | 91 | 90 | $275.17 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 96 | 87 | $232.55 |
3 more codes
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 officialBUTLER, MELISSA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Tallahassee Orthopedic Clinic III PL | Tallahassee, FL | $3.09M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.