Ut Specialty Dental Services, PLLC
Ut Specialty Dental Services, PLLC was paid $166K by Medicaid between Aug 2024 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
SPANISH FORK, UT 84660
Next to other Pediatric Dentist providers in Utah
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 3,929 | $166K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 610 | 610 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 271 | 125 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 586 | 586 | $16K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9.5% | 120 | 34 | $16K |
| D1206 | Topical application of fluoride varnish | 7.6% | 609 | 609 | $13K |
| D0272 | Bitewings - two radiographic images | 7.0% | 416 | 416 | $12K |
| D1351 | Sealant - per tooth | 6.6% | 336 | 71 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 111 | 61 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 4.7% | 96 | 47 | $8K |
| D2332 | 3.8% | 52 | 27 | $6K | |
| D0274 | Bitewings - four radiographic images | 3.4% | 140 | 140 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 220 | 219 | $4K |
6 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 68 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 22 | $3K |
| D0330 | Panoramic radiographic image | 1.5% | 34 | $2K |
| D1110 | Prophylaxis - adult | 1.5% | 45 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 146 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 47 | $2K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.