Dental
Schweppe Pediatric Dental
Schweppe Pediatric Dental was paid $913K by Medicaid between Jan 2019 and Dec 2024, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.
33Billing provider infoSCHWEPPE PEDIATRIC DENTAL
SOUTH OGDEN, UT 84403
SOUTH OGDEN, UT 84403
33aNPI1710545769assigned 06/04/2019
33bProvider typePediatric Dentist
28Total paid$913K
24GClaims30,193
24DCodes billed20
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#39 of 152
Median peer was paid$311K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2019 | 745 | $21K | |
| 2020 | 1,489 | $39K | |
| 2021 | 6,843 | $232K | |
| 2022 | 9,271 | $276K | |
| 2023 | 5,791 | $157K | |
| 2024incomplete | 6,054 | $189K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 4,228 | 4,200 | $284K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 5,103 | 5,071 | $134K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.4% | 758 | 752 | $77K |
| D0272 | Bitewings - two radiographic images | 6.9% | 3,131 | 3,098 | $63K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.9% | 665 | 245 | $53K |
| D1351 | Sealant - per tooth | 5.1% | 1,200 | 319 | $47K |
| D0220 | Intraoral - periapical first radiographic image | 4.9% | 3,889 | 3,827 | $45K |
| D1206 | Topical application of fluoride varnish | 4.6% | 5,200 | 5,166 | $42K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 443 | 255 | $41K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4.2% | 578 | 302 | $39K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 3,682 | 3,590 | $21K |
| D2140 | 2.2% | 329 | 211 | $20K |
8 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 273 | $20K |
| D0274 | Bitewings - four radiographic images | 1.0% | 335 | $10K |
| D0140 | Limited oral evaluation - problem focused | <1% | 143 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 133 | $7K |
| D9420 | <1% | 12 | $3K | |
| D1110 | Prophylaxis - adult | <1% | 15 | $744.08 |
| D1999 | <1% | 53 | $562.08 | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 23 | $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 officialSCHWEPPE, MATHEW (OWNER)