UT BCDO SPECIALTY DENTAL SERVICES, PLLC
NPI: 1669065470
· WEST JORDAN, UT 84084
· 122300000X
$14.06M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
103,209 |
$3.18M |
| 2022 |
158,848 |
$4.97M |
| 2023 |
91,183 |
$3.37M |
| 2024 |
69,895 |
$2.54M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
|
55,981 |
55,487 |
$5.19M |
| D1351 |
|
54,514 |
12,560 |
$1.05M |
| D2930 |
|
9,381 |
2,490 |
$900K |
| D1120 |
|
55,123 |
54,641 |
$850K |
| D2392 |
|
9,538 |
4,918 |
$834K |
| D0150 |
|
5,546 |
5,492 |
$471K |
| D0220 |
|
42,629 |
41,721 |
$431K |
| D1206 |
|
57,945 |
57,421 |
$406K |
| D7140 |
|
5,405 |
2,879 |
$387K |
| D2150 |
|
6,581 |
3,430 |
$384K |
| D2391 |
|
5,010 |
3,208 |
$351K |
| D3220 |
|
6,220 |
2,076 |
$287K |
| D0272 |
|
24,843 |
24,631 |
$285K |
| D0330 |
|
7,439 |
7,374 |
$275K |
| D0230 |
|
42,724 |
38,450 |
$245K |
| D9420 |
|
2,496 |
2,460 |
$229K |
| D0274 |
|
12,545 |
12,413 |
$227K |
| D8080 |
|
58 |
58 |
$225K |
| D2140 |
|
3,932 |
2,486 |
$191K |
| D2332 |
|
1,545 |
901 |
$141K |
| D2393 |
|
1,301 |
828 |
$128K |
| D0140 |
|
2,887 |
2,811 |
$117K |
| D1110 |
|
4,491 |
4,441 |
$113K |
| D7240 |
|
407 |
109 |
$84K |
| D9248 |
|
1,156 |
1,069 |
$83K |
| D2330 |
|
1,023 |
667 |
$70K |
| D2160 |
|
864 |
551 |
$44K |
| D0470 |
|
367 |
360 |
$22K |
| D7111 |
|
366 |
264 |
$16K |
| D1510 |
|
135 |
106 |
$12K |
| D2331 |
|
95 |
74 |
$7K |
| D2335 |
|
63 |
45 |
$4K |
| D0270 |
|
50 |
48 |
$488.93 |
| D0240 |
|
145 |
73 |
$163.00 |
| D9230 |
|
330 |
300 |
$0.00 |