Clinic
Dentistry for Children West Valley PC
Dentistry for Children West Valley PC was paid $1.84M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D0120, dental checkup, returning patient — 53% of everything it billed.
33Billing provider infoDENTISTRY FOR CHILDREN WEST VALLEY PC
WEST VALLEY, UT 84120
WEST VALLEY, UT 84120
33aNPI1922308618assigned 10/27/2010
33bProvider typeDental Clinic/Center
28Total paid$1.84M
24GClaims58,092
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Utah
Rank by total paid#5 of 37
Median peer was paid$90K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2018 | 13,223 | $344K | |
| 2019 | 5,313 | $160K | |
| 2020 | 4,815 | $161K | |
| 2021 | 9,880 | $326K | |
| 2022 | 11,941 | $387K | |
| 2023 | 7,656 | $278K | |
| 2024incomplete | 5,264 | $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 | 53% | 10,440 | 10,324 | $969K |
| D1351 | Sealant - per tooth | 8.6% | 5,732 | 986 | $159K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 1,507 | 855 | $138K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.2% | 9,691 | 9,565 | $96K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 858 | 842 | $81K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 831 | 521 | $62K |
| D0272 | Bitewings - two radiographic images | 3.0% | 8,186 | 8,066 | $55K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.0% | 1,941 | 1,051 | $55K |
| D1206 | Topical application of fluoride varnish | 3.0% | 11,387 | 11,256 | $55K |
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 573 | 291 | $38K |
| D0274 | Bitewings - four radiographic images | 1.3% | 1,778 | 1,763 | $24K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.2% | 251 | 85 | $22K |
10 more codes
| D2140 | 1.2% | 1,139 | $21K | |
| D0330 | Panoramic radiographic image | <1% | 933 | $18K |
| D1110 | Prophylaxis - adult | <1% | 732 | $17K |
| D9420 | <1% | 84 | $16K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,237 | $10K |
| D0140 | Limited oral evaluation - problem focused | <1% | 128 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 442 | $2K |
| D2330 | <1% | 19 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 190 | $175.57 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 13 | $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 officialDAVILA, NANCY (OFFICE MANAGER)