Dental
Children's Dental of Southern Utah
Children's Dental of Southern Utah was paid $1.22M by Medicaid between Feb 2019 and Dec 2024, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 66% of everything it billed.
33Billing provider infoCHILDREN'S DENTAL OF SOUTHERN UTAH
ST GEORGE, UT 84790
ST GEORGE, UT 84790
33aNPI1891101572assigned 07/02/2014
33bProvider typePediatric Dentist
28Total paid$1.22M
24GClaims34,324
24DCodes billed18
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#23 of 152
Median peer was paid$311K
This provider vs. median3.9×
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 | 7,259 | $235K | |
| 2020 | 8,182 | $286K | |
| 2021 | 9,150 | $347K | |
| 2022 | 7,962 | $298K | |
| 2023 | 1,107 | $32K | |
| 2024incomplete | 664 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 66% | 5,376 | 5,364 | $798K |
| D1351 | Sealant - per tooth | 9.6% | 4,362 | 736 | $117K |
| D9248 | 7.8% | 261 | 261 | $96K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.9% | 874 | 365 | $48K |
| D0272 | Bitewings - two radiographic images | 3.1% | 4,974 | 4,963 | $38K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 213 | 213 | $32K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 5,361 | 5,348 | $27K |
| D2140 | 1.8% | 384 | 150 | $22K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,335 | 5,313 | $11K |
| D1206 | Topical application of fluoride varnish | <1% | 5,420 | 5,407 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 185 | 63 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 471 | 220 | $8K |
6 more codes
| D0330 | Panoramic radiographic image | <1% | 982 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 35 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 41 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 12 | $0.00 |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 26 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 12 | $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 officialSCHOLZEN, JEREMY (DOCTOR / OWNER)
| Provider | Location | Paid |
|---|---|---|
| Children's Dental of Cedar City | Cedar City, UT | $1.08M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.