Clinic
Mountain View Pediatric Dentistry LLC
Mountain View Pediatric Dentistry LLC was paid $988K by Medicaid between Aug 2021 and Dec 2024, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.
33Billing provider infoMOUNTAIN VIEW PEDIATRIC DENTISTRY LLC
PLEASANT VIEW, UT 84404
PLEASANT VIEW, UT 84404
33aNPI1699396168assigned 05/06/2020
33bProvider typeDental Clinic/Center
28Total paid$988K
24GClaims33,288
24DCodes billed23
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Utah
Rank by total paid#8 of 37
Median peer was paid$90K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2021 | 90 | $3K | |
| 2022 | 8,912 | $260K | |
| 2023 | 13,085 | $382K | |
| 2024incomplete | 11,201 | $343K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 4,486 | 4,435 | $216K |
| D1351 | Sealant - per tooth | 15% | 5,265 | 815 | $149K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 4,606 | 4,560 | $133K |
| D1206 | Topical application of fluoride varnish | 7.5% | 4,348 | 4,292 | $74K |
| D0272 | Bitewings - two radiographic images | 5.8% | 2,947 | 2,916 | $58K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.9% | 676 | 322 | $48K |
| D0274 | Bitewings - four radiographic images | 4.0% | 1,381 | 1,376 | $39K |
| D7140 | Extraction, erupted tooth or exposed root | 3.8% | 493 | 259 | $38K |
| D0330 | Panoramic radiographic image | 3.7% | 944 | 940 | $37K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.5% | 340 | 113 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 503 | 503 | $34K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 3,090 | 3,049 | $32K |
11 more codes
| D2140 | 2.7% | 468 | $27K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 2,467 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 167 | $13K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 353 | $12K |
| D1110 | Prophylaxis - adult | 1.0% | 290 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 135 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 176 | $3K |
| D2332 | <1% | 23 | $2K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 23 | $881.36 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 92 | $324.43 |
| D0240 | <1% | 15 | $209.00 |
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 officialQUAYLE, CAMERON (DOCTOR/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Mountain View Pediatric Dentistry of Farmington | Farmington, UT | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.