Dental
White, Treagan
White, Treagan was paid $613K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoWHITE, TREAGAN
SALT LAKE CITY, UT 84116
SALT LAKE CITY, UT 84116
33aNPI1659667343assigned 06/22/2011
33bProvider typePediatric Dentist
28Total paid$613K
24GClaims22,395
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#52 of 152
Median peer was paid$311K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2018 | 6,709 | $192K | |
| 2019 | 8,594 | $238K | |
| 2020 | 2,168 | $64K | |
| 2021 | 2,452 | $71K | |
| 2023 | 882 | $17K | |
| 2024incomplete | 1,590 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 2,943 | 2,915 | $159K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,535 | 662 | $82K |
| D9248 | 6.5% | 452 | 432 | $40K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.2% | 1,261 | 1,257 | $38K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.2% | 908 | 414 | $38K |
| D0272 | Bitewings - two radiographic images | 5.8% | 1,749 | 1,728 | $36K |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 1,006 | 1,001 | $33K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 1,991 | 1,944 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.1% | 4,451 | 2,691 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 4.1% | 2,529 | 2,504 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 806 | 790 | $25K |
| D1351 | Sealant - per tooth | 3.8% | 1,023 | 228 | $23K |
10 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 355 | $13K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.8% | 602 | $11K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.5% | 97 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 314 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 178 | $4K |
| D0330 | Panoramic radiographic image | <1% | 84 | $3K |
| D2330 | <1% | 42 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 34 | $2K |
| D1110 | Prophylaxis - adult | <1% | 12 | $597.72 |
| D3120 | <1% | 23 | $430.50 |
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.