Clinic
Eagle Mountain Children's Dentistry PLLC
Eagle Mountain Children's Dentistry PLLC was paid $117K by Medicaid between May 2021 and Dec 2024, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 57% of everything it billed.
33Billing provider infoEAGLE MOUNTAIN CHILDREN'S DENTISTRY PLLC
EAGLE MOUNTAIN, UT 84005
EAGLE MOUNTAIN, UT 84005
33aNPI1922573856assigned 10/08/2018
33bProvider typeDental Clinic/Center
28Total paid$117K
24GClaims4,373
24DCodes billed9
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Utah
Rank by total paid#16 of 37
Median peer was paid$90K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2021 | 1,119 | $31K | |
| 2022 | 1,724 | $43K | |
| 2023 | 981 | $26K | |
| 2024incomplete | 549 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 57% | 875 | 866 | $66K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,179 | 1,169 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.6% | 90 | 89 | $11K |
| D0272 | Bitewings - two radiographic images | 6.7% | 862 | 854 | $8K |
| D1206 | Topical application of fluoride varnish | 6.6% | 1,204 | 1,191 | $8K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.7% | 54 | 25 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 21 | 12 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 45 | 45 | $208.72 |
| D0330 | Panoramic radiographic image | 0% | 43 | 41 | $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 officialROOKLIDGE, ERIK (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Dentistry for Children LLC | Murray, UT | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.