Dental
Kids Town Pediatric Dentistry, PLLC
Kids Town Pediatric Dentistry, PLLC was paid $114K by Medicaid between Jun 2021 and Jul 2024, across 10 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 34% of everything it billed.
33Billing provider infoKIDS TOWN PEDIATRIC DENTISTRY, PLLC
ROY, UT 84067
ROY, UT 84067
33aNPI1992253991assigned 09/19/2016
33bProvider typePediatric Dentist
28Total paid$114K
24GClaims4,509
24DCodes billed10
24AFirst – last monthJun 2021 – Jul 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#111 of 152
Median peer was paid$311K
This provider vs. median0.4×
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 | 143 | $2K | |
| 2022 | 835 | $23K | |
| 2023 | 2,213 | $56K | |
| 2024incomplete | 1,318 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 34% | 871 | 860 | $39K |
| D1120 | Dental cleaning, childProphylaxis - child | 21% | 818 | 808 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 799 | 788 | $15K |
| D0272 | Bitewings - two radiographic images | 13% | 665 | 657 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 6.7% | 627 | 618 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.7% | 586 | 575 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 34 | 16 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 59 | 59 | $2K |
| D0330 | Panoramic radiographic image | 1.5% | 24 | 24 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 26 | 26 | $871.29 |
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 officialORTON, AIMEE (FINANCIAL MANAGER)