Dental
Redwood Pediatric Dentistry
Redwood Pediatric Dentistry was paid $50K by Medicaid between Sep 2020 and Dec 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.
33Billing provider infoREDWOOD PEDIATRIC DENTISTRY
TAYLORSVILLE, UT 84123
TAYLORSVILLE, UT 84123
33aNPI1619354271assigned 05/04/2015
33bProvider typePediatric Dentist
28Total paid$50K
24GClaims1,295
24DCodes billed6
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#126 of 152
Median peer was paid$311K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 247 | $8K | |
| 2021 | 521 | $25K | |
| 2023 | 158 | $5K | |
| 2024incomplete | 369 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 294 | 287 | $20K |
| D0272 | Bitewings - two radiographic images | 17% | 199 | 185 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 386 | 370 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 40 | 37 | $6K |
| D1206 | Topical application of fluoride varnish | 11% | 346 | 330 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 30 | 27 | $3K |
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 officialODION, CHARLES (DOCTOR/OWNER)
| Provider | Location | Paid |
|---|---|---|
| South Davis Pediatric Dentistry LLC | Bountiful, UT | $66K |
| Herriman Pediatric Dentistry | Herriman, UT | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.