Clinic
Park City Dental Associates LLC
Park City Dental Associates LLC was paid $868K by Medicaid between Feb 2019 and Jul 2023, across 20 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 32% of everything it billed.
33Billing provider infoPARK CITY DENTAL ASSOCIATES LLC
PARK CITY, UT 84060
PARK CITY, UT 84060
33aNPI1992261143assigned 02/13/2019
33bProvider typeDental Clinic/Center
28Total paid$868K
24GClaims21,983
24DCodes billed20
24AFirst – last monthFeb 2019 – Jul 2023
Compared with peers
Next to other Dental Clinic/Center providers in Utah
Rank by total paid#9 of 37
Median peer was paid$90K
This provider vs. median9.6×
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 | |
|---|---|---|---|
| 2019 | 932 | $30K | |
| 2020 | 4,739 | $191K | |
| 2021 | 6,913 | $271K | |
| 2022 | 6,542 | $273K | |
| 2023 | 2,857 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 32% | 2,109 | 576 | $278K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 1,618 | 1,618 | $138K |
| D1110 | Prophylaxis - adult | 14% | 2,045 | 2,043 | $124K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,820 | 1,119 | $107K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 8.2% | 512 | 395 | $71K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 1,386 | 285 | $28K |
| D0140 | Limited oral evaluation - problem focused | 2.9% | 1,221 | 1,199 | $26K |
| D0330 | Panoramic radiographic image | 2.9% | 1,926 | 1,922 | $25K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 1,315 | 795 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 2,368 | 2,367 | $12K |
| D2332 | 1.2% | 53 | 36 | $10K | |
| D2331 | 1.1% | 154 | 107 | $10K |
8 more codes
| D0274 | Bitewings - four radiographic images | <1% | 2,502 | $6K |
| D4341 | <1% | 58 | $4K | |
| D4910 | <1% | 68 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,124 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 751 | $753.63 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 584 | $216.42 |
| D2330 | <1% | 15 | $123.72 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 354 | $112.13 |
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 officialMCKEE, MARC (MANAGER)
Parent organizationPARK CITY DENTAL ASSOCIATES LLC