Dental
ST. George Kids Dental at Snow Canyon
ST. George Kids Dental at Snow Canyon was paid $137K by Medicaid between Sep 2018 and Nov 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 70% of everything it billed.
33Billing provider infoST. GEORGE KIDS DENTAL AT SNOW CANYON
SANTA CLARA, UT 84765
SANTA CLARA, UT 84765
33aNPI1639667801assigned 04/24/2018
33bProvider typePediatric Dentist
28Total paid$137K
24GClaims6,138
24DCodes billed8
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#102 of 152
Median peer was paid$311K
This provider vs. median0.4×
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 | 466 | $9K | |
| 2019 | 467 | $9K | |
| 2020 | 733 | $13K | |
| 2021 | 1,549 | $39K | |
| 2022 | 1,974 | $44K | |
| 2023 | 503 | $12K | |
| 2024incomplete | 446 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 70% | 911 | 906 | $95K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.1% | 1,185 | 1,177 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 65 | 65 | $9K |
| D0272 | Bitewings - two radiographic images | 6.0% | 603 | 597 | $8K |
| D1206 | Topical application of fluoride varnish | 3.4% | 1,111 | 1,099 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.7% | 81 | 53 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 2.4% | 1,044 | 1,032 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 1,138 | 975 | $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 officialHIGBEE, JEFFREY (OWNER)