I Smile at Vip Dental PLLC

I Smile at Vip Dental PLLC was paid $14K by Medicaid between Jan 2018 and Sep 2018, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.

33Billing provider infoI SMILE AT VIP DENTAL PLLC
ST GEORGE, UT 84770

33aNPI1689082059assigned 07/29/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$14K

24GClaims332

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#129 of 225

Median peer was paid$21K

This provider vs. median0.7×

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	332	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	31%	66	62	$4K
D4355		24%	68	59	$3K
D0150	Comprehensive oral evaluation - new or established patient	21%	47	40	$3K
D2150	Silver amalgam - two surfaces, primary or permanent	15%	33	12	$2K
D0210	Intraoral - complete series of radiographic images	5.5%	13	13	$764.47
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.9%	42	40	$400.33
D0220	Intraoral - periapical first radiographic image	1.4%	46	39	$189.32
D1206	Topical application of fluoride varnish	0%	17	14	$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 officialERICKSON, VERD (DENTIST)