Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

REDWOOD PEDIATRIC DENTISTRY

NPI: 1619354271 · TAYLORSVILLE, UT 84123 · Pediatric Dentist · NPI assigned 05/04/2015

$50K
Total Medicaid Paid
1,295
Total Claims
1,236
Beneficiaries
6
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialODION, CHARLES (DOCTOR/OWNER)
NPI Enumeration Date05/04/2015

Related Entities

Other providers sharing the same authorized official: ODION, CHARLES

ProviderCityStateTotal Paid
SOUTH DAVIS PEDIATRIC DENTISTRY LLC BOUNTIFUL UT $66K
HERRIMAN PEDIATRIC DENTISTRY HERRIMAN UT $49K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 247 $8K
2021 521 $25K
2023 158 $5K
2024 369 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 294 287 $20K
D0272 Bitewings - two radiographic images 199 185 $9K
D1120 Prophylaxis - child 386 370 $8K
D0150 Comprehensive oral evaluation - new or established patient 40 37 $6K
D1206 Topical application of fluoride varnish 346 330 $6K
D0220 Intraoral - periapical first radiographic image 30 27 $3K