Dental
Kids Town Pediatric Dentistry of Syracuse
Kids Town Pediatric Dentistry of Syracuse was paid $59K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoKIDS TOWN PEDIATRIC DENTISTRY OF SYRACUSE
SYRACUSE, UT 84075
SYRACUSE, UT 84075
33aNPI1992179964assigned 11/13/2015
33bProvider typePediatric Dentist
28Total paid$59K
24GClaims2,349
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#120 of 152
Median peer was paid$311K
This provider vs. median0.2×
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 | 14 | $34.67 | |
| 2023 | 857 | $21K | |
| 2024incomplete | 1,478 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 439 | 433 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 410 | 407 | $11K |
| D0272 | Bitewings - two radiographic images | 17% | 366 | 361 | $10K |
| D1206 | Topical application of fluoride varnish | 16% | 471 | 466 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 9.3% | 346 | 346 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.7% | 317 | 316 | $4K |
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 officialPACKHAM, BRETT (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Kids Town Pediatric Dentistry | Layton, UT | $104K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.