UT SPECIALTY DENTAL SERVICES, PLLC · NPI 1851158794

NPI: 1851158794 · SPANISH FORK, UT 84660 · Pediatric Dentist · NPI assigned 03/05/2024

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official DASCH, CHARLOTTE controls 20+ related entities in our dataset. Read more

$1K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2024-08

First Month

2024-08

Last Month

Provider Details

Authorized Official	DASCH, CHARLOTTE (DIRECTOR OF CRED AND PR)
Parent Organization	UT SPECIALTY DENTAL SERVICES, PLLC
NPI Enumeration Date	03/05/2024

Related Entities

Provider	City	State	Total Paid
UT BCDO SPECIALTY DENTAL SERVICES, PLLC	WEST JORDAN	UT	$14.06M
TN SPECIALTY DENTAL SERVICES, PLLC	BRENTWOOD	TN	$8.67M
CDPT II PC	DALLAS	TX	$3.16M
TN SPECIALTY DENTAL SERVICES, PLLC	KNOXVILLE	TN	$848K
NE SPECIALTY DENTAL SERVICES LLC	OMAHA	NE	$521K
MT OMS SPECIALTY DENTAL SERVICES, PLLC	BILLINGS	MT	$480K
CO SPECIALTY DENTAL SERVICES PLLC	AURORA	CO	$341K
CO SPECIALTY DENTAL SERVICES PLLC	GLENDALE	CO	$255K
UT SPECIALTY DENTAL SERVICES, PLLC	SPANISH FORK	UT	$166K
CO SPECIALTY DENTAL SERVICES PLLC	PARKER	CO	$120K
TN SPECIALTY DENTAL SERVICES, PLLC	BRENTWOOD	TN	$117K
TN SPECIALTY DENTAL SERVICES, PLLC	HENDERSONVILLE	TN	$98K
NE OMS SPECIALTY DENTAL SERVICES, LLC	OMAHA	NE	$57K
TN SPECIALTY DENTAL SERVICES, PLLC	NOLENSVILLE	TN	$54K
OK OMS SPECIALTY DENTAL SERVICES	OKLAHOMA CITY	OK	$38K
NE SPECIALTY DENTAL SERVICES LLC	OMAHA	NE	$35K
OK SPECIALTY DENTAL SERVICES PLLC	OKLAHOMA CITY	OK	$32K
CO SPECIALTY DENTAL SERVICES PLLC	THORNTON	CO	$23K
CO SPECIALTY DENTAL SERVICES PLLC	COLORADO SPRINGS	CO	$13K
CO SPECIALTY DENTAL SERVICES PLLC	COLORADO SPRINGS	CO	$5K

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2024	45	$1K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1120	Prophylaxis - child	14	14	$636.32
D0120	Periodic oral evaluation - established patient	14	14	$394.96
D1206	Topical application of fluoride varnish	17	17	$346.63