Dental
Swan Pediatric Dental
Swan Pediatric Dental was paid $237K by Medicaid between Mar 2019 and Dec 2024, across 15 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.
33Billing provider infoSWAN PEDIATRIC DENTAL
SALEM, UT 84653
SALEM, UT 84653
33aNPI1841763513assigned 01/06/2019
33bProvider typePediatric Dentist
28Total paid$237K
24GClaims11,346
24DCodes billed15
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#85 of 152
Median peer was paid$311K
This provider vs. median0.8×
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
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 | 514 | $13K | |
| 2020 | 1,172 | $23K | |
| 2021 | 1,935 | $45K | |
| 2022 | 2,534 | $46K | |
| 2023 | 2,679 | $56K | |
| 2024incomplete | 2,512 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 46% | 1,433 | 1,410 | $110K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 4,502 | 1,325 | $34K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,419 | 1,393 | $28K |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 1,699 | 1,632 | $16K |
| D1206 | Topical application of fluoride varnish | 4.5% | 1,269 | 1,255 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 130 | 65 | $11K |
| D0274 | Bitewings - four radiographic images | 3.4% | 328 | 315 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 85 | 85 | $7K |
| D1351 | Sealant - per tooth | 1.5% | 81 | 13 | $4K |
| D2140 | <1% | 47 | 27 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 70 | 70 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 21 | 12 | $2K |
3 more codes
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 officialSWAN, MATTHEW (OWNER)