Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Utah (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ut Bcdo Specialty Dental Services, PLLC (NPI 1669065470)

Field	Value
Entity Type	Organization
Organization	Ut Bcdo Specialty Dental Services, PLLC
Address	6973 S 4800 W Ste C
City	West Jordan
State	UT
ZIP	84084
Taxonomy	Pediatric Dentistry
NPI Enumerated	February 12, 2021

Payer Source	Total Paid
Medicaid	$14M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and lifetime Medicaid revenue is $14M, so all billed activity on record is Medicaid‑sourced rather than split across Medicare and Medicaid. The absence of Medicare claims means competitive and operational analysis should focus on Medicaid volumes and code mix.

Revenue is highly concentrated in a few codes: the precomputed top three Medicaid codes (D0120, D1351, D2930) account for 51.6% of the provider’s total Medicaid revenue. The single largest driver is D0120 with $5.2M revenue (37.6% of Medicaid revenue), followed by D1351 at $1M (7.5%) and D2930 at $900.6K (6.5%), indicating a small set of services generates the majority of dollars.

The CPT/HCPCS mix and high counts of pediatric preventive codes indicate this is a high‑volume pediatric dentistry operation: D0120 has 56K claims, D1120 has 55.1K claims ($826.8K revenue, 6.0%), D1206 has 57.9K claims ($405.6K revenue, 2.9%), and D1351 has 54.5K claims ($1M revenue, 7.5%). Together these patterns (periodic evaluations, child prophylaxis, topical fluoride, and sealants) point to a preventive‑focused pediatric practice model rather than a specialty adult or geriatric dental practice.

Competitive standing within the state is dominant for many core codes: D0120 ranks #1 of 467 providers in‑state (100th percentile; extreme outlier), and numerous other high‑revenue codes (for example D1351, D2930, D2392, D1120, D0220, D1206) also rank #1 of their peer pools and are labeled extreme outliers. This provider is therefore a major statewide player for routine pediatric dental services and significantly exceeds typical state volumes for those codes.

While preventive care dominates revenue, the provider also bills substantial operative and surgical pediatric dentistry services, showing breadth of care beyond screening and prevention. Examples include D2392 (9.5K claims, $829.8K revenue, 6.0%), D2391 (5K claims, $350.7K revenue, 2.5%), D2150 (6.6K claims, $381.7K revenue, 2.8%) and D7140 (5.4K claims, $389.2K revenue, 2.8%), indicating regular delivery of restorations and extractions in addition to preventive workflows.

Claim volumes are exceptionally large across multiple radiographic and routine visit codes, suggesting high patient throughput and standardized workflows: D0220 has 42.6K claims ($426.3K revenue), D0230 has 42.7K claims ($256.3K revenue), and D0272 has 24.8K claims ($273.3K revenue). These high counts imply the provider manages large pediatric patient panels and performs routine imaging and monitoring at scale.

Most high‑revenue codes are extreme state outliers, but there are a small number of codes with more typical volumes or mid‑range rankings, indicating limited use of some specialty or high‑acuity procedures. For example, D8080 accounts for $224.9K revenue on 58 claims and ranks #9 of 15 providers in‑state (43th percentile, typical), and D7240 (407 claims, $83.8K revenue) ranks #9 of 23 providers (64th percentile), showing that some higher‑complexity or less frequent procedures are not a primary revenue focus.

The provider’s NPI was enumerated on 2021-02-12 (~5 years ago); despite relatively recent enumeration it has achieved substantial Medicaid volume and statewide dominance on several routine pediatric dental codes. That tenure plus the current billing profile suggests rapid scaling within Medicaid pediatrics since enrollment.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	55,980	$90	$5.2M
D1351	Sealant - per tooth	54,510	$20	$1M
D2930	N/A	9,380	$100	$900.6K
D2392	Post 2 surface resin‑based composite	9,540	$90	$829.8K
D1120	Prophylaxis–child	55,120	$20	$826.8K
D0150	Comprehensive oral evaluation – new or established patient	5,550	$90	$471.4K
D0220	Intraoral - periapical first radiographic image	42,630	$10	$426.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	57,950	$10	$405.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,410	$70	$389.2K
D2150	Amalgam - two surfaces, primary or permanent	6,580	$60	$381.7K

Showing 1–10 of 35

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

Claims Volume vs. Utah Distribution

Ut Bcdo Specialty Dental Services, PLLC — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8080	N/A	9	20	60	$3,050	$286.6K
D0120	Periodic oral evaluation - established patient	1	470	460	$80	$149.8K
D7240	N/A	9	20	270	$130	$87.1K
D1351	Sealant - per tooth	1	190	620	$30	$60.7K
D2930	N/A	1	70	280	$70	$57.7K
D0140	Limited oral evaluation – problem focused	6	260	140	$120	$55.8K
D2150	Amalgam - two surfaces, primary or permanent	1	220	290	$60	$45K
D2392	Post 2 surface resin‑based composite	1	170	170	$80	$39.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2	150	170	$60	$35.9K
D0220	Intraoral - periapical first radiographic image	1	440	470	$20	$32.8K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ut Bcdo Specialty Dental Services, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Terry Sorenson	UT	General Practice Dentistry	$0	$1.6M
Stuart Segura	UT	Pediatric Dentistry	$0	$1.5M
Kurt Christensen	UT	Pediatric Dentistry	$0	$1M
Jeffrey Welch	UT	General Practice Dentistry	$0	$856.8K
Darin Knudson	UT	Dentist	$0	$777.7K
Don Boren	UT	General Practice Dentistry	$0	$679.4K
Jason Mandelaris	UT	Pediatric Dentistry	$0	$670.6K
Stuart Thomas	UT	Pediatric Dentistry	$0	$642.4K
Creek Capital Vine Street LLC	UT	Dentist	$0	$573.1K
Creek Capital East Gate LLC	UT	Pediatric Dentistry	$0	$570.9K

Nearby Providers

Other providers in the same ZIP code as Ut Bcdo Specialty Dental Services, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinical Consultants Limited Liability Company	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.5M
City Of West Jordan	UT	Ambulance	$168.3K	$3M
R Ryan Johansen	UT	Pediatric Dentistry	$0	$2.9M
Darren B. Jenkins, D.o.,p.c.	UT	Family Medicine Physician	$0	$782.7K
Out Of This World Dentistry Wj PC	UT	Pediatric Dentistry	$0	$782.5K
Altium Health LLC	UT	Substance Abuse Rehabilitation Facility	$0	$630.9K
Clinical Consultants, LLC	UT	Clinical Medical Laboratory	$0	$603.3K
Robert Nielson	UT	General Practice Dentistry	$0	$501K
Creek Capital Oquirrh Park LLC	UT	Pediatric Dentistry	$0	$459.1K
Michael Depola	UT	Physical Therapist	$94.8K	$0

Ut Bcdo Specialty Dental Services, PLLC — Billing Profile & Reimbursement Data

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Ut Bcdo Specialty Dental Services, PLLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References