Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › UT › Sandy › NPI 1700266889
Dental

Anderson, David

Anderson, David was paid $575K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 58% of everything it billed.

33Billing provider infoANDERSON, DAVID
SANDY, UT 84093
33aNPI1700266889assigned 06/04/2015
33bProvider typePediatric Dentist
28Total paid$575K
24GClaims19,682
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in Utah

Rank by total paid#57 of 152
Median peer was paid$311K
This provider vs. median1.8×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
20181,842$49K
20194,391$124K
20202,988$86K
20212,673$80K
20222,523$72K
20232,906$92K
2024incomplete2,359$73K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 58% 4,152 4,150 $334K
D0150 Comprehensive oral evaluation - new or established patient 10% 588 588 $60K
D1120 Dental cleaning, childProphylaxis - child 9.8% 4,729 4,725 $56K
D1206 Topical application of fluoride varnish 5.1% 4,941 4,939 $29K
D0272 Bitewings - two radiographic images 3.9% 2,699 2,696 $23K
D2150 Silver amalgam - two surfaces, primary or permanent 3.6% 360 222 $21K
D1351 Sealant - per tooth 3.1% 619 105 $18K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.7% 171 92 $16K
D0274 Bitewings - four radiographic images 1.0% 374 374 $6K
D2140 <1% 90 65 $5K
D0220 Intraoral - periapical first radiographic image <1% 587 577 $4K
D0330 Panoramic radiographic image <1% 160 160 $2K
3 more codes
D0140 Limited oral evaluation - problem focused <1% 15 $761.14
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 17 $402.36
D0230 Intraoral - periapical each additional radiographic image <1% 180 $342.17

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.