Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Ut Bcdo Specialty Dental Services, PLLC

Ut Bcdo Specialty Dental Services, PLLC was paid $14.06M by Medicaid between Mar 2021 and Dec 2024, across 35 billing codes. Its largest line is D0120, dental checkup, returning patient — 37% of everything it billed.

33Billing provider infoUT BCDO SPECIALTY DENTAL SERVICES, PLLC
WEST JORDAN, UT 84084
33aNPI1669065470assigned 02/12/2021
33bProvider typeDentist
28Total paid$14.06M
24GClaims423,135
24DCodes billed35
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers

Next to other Dentist providers in Utah

Rank by total paid#1 of 136
Median peer was paid$35K
This provider vs. median401×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DASCH, CHARLOTTE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2021103,209$3.18M
2022158,848$4.97M
202391,183$3.37M
2024incomplete69,895$2.54M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 37% 55,981 55,487 $5.19M
D1351 Sealant - per tooth 7.5% 54,514 12,560 $1.05M
D2930 Prefabricated stainless steel crown - primary tooth 6.4% 9,381 2,490 $900K
D1120 Dental cleaning, childProphylaxis - child 6.0% 55,123 54,641 $850K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.9% 9,538 4,918 $834K
D0150 Comprehensive oral evaluation - new or established patient 3.4% 5,546 5,492 $471K
D0220 Intraoral - periapical first radiographic image 3.1% 42,629 41,721 $431K
D1206 Topical application of fluoride varnish 2.9% 57,945 57,421 $406K
D7140 Extraction, erupted tooth or exposed root 2.8% 5,405 2,879 $387K
D2150 Silver amalgam - two surfaces, primary or permanent 2.7% 6,581 3,430 $384K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.5% 5,010 3,208 $351K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 2.0% 6,220 2,076 $287K
23 more codes
D0272 Bitewings - two radiographic images 2.0% 24,843 $285K
D0330 Panoramic radiographic image 2.0% 7,439 $275K
D0230 Intraoral - periapical each additional radiographic image 1.7% 42,724 $245K
D9420 1.6% 2,496 $229K
D0274 Bitewings - four radiographic images 1.6% 12,545 $227K
D8080 Comprehensive orthodontic treatment of the adolescent dentition 1.6% 58 $225K
D2140 1.4% 3,932 $191K
D2332 1.0% 1,545 $141K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 1,301 $128K
D0140 Limited oral evaluation - problem focused <1% 2,887 $117K
D1110 Prophylaxis - adult <1% 4,491 $113K
D7240 Removal of impacted tooth - completely bony <1% 407 $84K
D9248 <1% 1,156 $83K
D2330 <1% 1,023 $70K
D2160 <1% 864 $44K
D0470 <1% 367 $22K
D7111 <1% 366 $16K
D1510 <1% 135 $12K
D2331 <1% 95 $7K
D2335 <1% 63 $4K
D0270 <1% 50 $488.93
D0240 <1% 145 $163.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 0% 330 $0.00

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 officialDASCH, CHARLOTTE (DIRECTOR OF OPERATIONS)
Same official

Other billing entities under DASCH, CHARLOTTE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.