Dental
Abc Pediatric Dentistry, PC
Abc Pediatric Dentistry, PC was paid $2.79M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.
33Billing provider infoABC PEDIATRIC DENTISTRY, PC
PROVIDENCE, UT 84332
PROVIDENCE, UT 84332
33aNPI1992119390assigned 06/13/2014
33bProvider typePediatric Dentist
28Total paid$2.79M
24GClaims90,579
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#8 of 152
Median peer was paid$311K
This provider vs. median9.0×
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 | 31,307 | $890K | |
| 2019 | 11,569 | $363K | |
| 2020 | 9,258 | $321K | |
| 2021 | 11,498 | $393K | |
| 2022 | 13,170 | $410K | |
| 2023 | 7,464 | $226K | |
| 2024incomplete | 6,313 | $183K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 40% | 10,872 | 10,715 | $1.10M |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 16,270 | 16,127 | $446K |
| D0272 | Bitewings - two radiographic images | 8.4% | 7,087 | 6,931 | $233K |
| D1351 | Sealant - per tooth | 6.2% | 8,829 | 1,642 | $172K |
| D0220 | Intraoral - periapical first radiographic image | 5.9% | 8,320 | 8,176 | $164K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 1,090 | 1,060 | $125K |
| D1206 | Topical application of fluoride varnish | 4.1% | 17,143 | 16,928 | $114K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.5% | 930 | 834 | $96K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 9,556 | 7,806 | $71K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.0% | 2,523 | 1,286 | $56K |
| D2140 | 1.3% | 1,361 | 750 | $37K | |
| D0274 | Bitewings - four radiographic images | 1.3% | 2,348 | 2,325 | $35K |
11 more codes
| D0330 | Panoramic radiographic image | 1.2% | 2,311 | $35K |
| D9420 | 1.2% | 300 | $32K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 232 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 154 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 504 | $13K |
| D0140 | Limited oral evaluation - problem focused | <1% | 272 | $12K |
| D1110 | Prophylaxis - adult | <1% | 243 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 18 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 86 | $2K |
| D2331 | <1% | 49 | $2K | |
| D4355 | <1% | 81 | $472.72 |
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 officialALLEN, STANTON (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Spring Creek Surgical Center, LLC | Providence, UT | $1.73M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.