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    OpenPayerNPI Medicare & MedicaidMountain View Pediatric Dentistry LLC
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    Mountain View Pediatric Dentistry LLC — Billing Profile & Reimbursement Data

    NPI 1699396168 · Pleasant View, UT · Dental Clinic/Center

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    Mountain View Pediatric Dentistry LLC is a dental clinic/center provider located in Pleasant View, Utah. This profile covers 0 Medicare and 23 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMountain View Pediatric Dentistry LLC
    Address2719 N Highway 89 Ste 200
    CityPleasant View
    StateUT
    ZIP84404
    TaxonomyDental Clinic/Center
    NPI EnumeratedMay 6, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$987.7K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0120Periodic oral evaluation - established patient4,490$50$215.3K
    D1351Sealant - per tooth5,270$30$147.4K
    D1120Prophylaxis–child4,610$30$133.6K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients4,350$20$73.9K
    D0272N/A2,950$20$58.9K
    D2150Amalgam - two surfaces, primary or permanent680$70$48.7K
    D0274N/A1,380$30$38.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)490$80$38K
    D0330N/A940$40$36.8K
    D2930N/A340$100$34.7K

    Showing 1–10 of 23

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Utah median

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0120Periodic oral evaluation - established patient56470460$80$149.8K
    D1351Sealant - per tooth23190620$30$60.7K
    D2930N/A3170280$70$57.7K
    D0140Limited oral evaluation – problem focused86260140$120$55.8K
    D2150Amalgam - two surfaces, primary or permanent71220290$60$45K
    D2392Post 2 surface resin‑based composite86170170$80$39.4K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)39150170$60$35.9K
    D0220Intraoral - periapical first radiographic image58440470$20$32.8K
    D0150Comprehensive oral evaluation – new or established patient78420110$100$30.8K
    D1120Prophylaxis–child55420440$20$30.7K

    Showing 1–10 of 23

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mountain View Pediatric Dentistry LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cameron QuayleUTPediatric Dentistry$0$3.1M
    Raymond DurhamUTDentist$0$432.5K

    Nearby Providers

    Other providers in the same ZIP code as Mountain View Pediatric Dentistry LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Utah Schools For The Deaf And The BlindUTLocal Education Agency (LEA)$0$6M
    Gardens Retirement HomeUTAssisted Living Facility$0$5.2M
    Bristol Hospice - Utah, L.L.C.UTCommunity Based Hospice Care Agency$0$3.7M
    Utah Schools For The Deaf And The BlindUTLocal Education Agency (LEA)$0$2.5M
    Welltower Tenant Group, LLCUTAssisted Living Facility$0$2.2M
    Weber-morgan Early InterventionUTDevelopmentally Disabled Services Day Training Agency$0$720.5K
    Monarch TherapyUTCommunity/Behavioral Health Agency$0$602.1K
    Aloha Behavioral Consultants, Inc.UTClinical Social Worker$0$515.9K
    Quality Youth ServicesUTMental Health Clinic/Center (Including Community Mental Health Center)$0$497.6K
    Jared WolthuisUTDentist$0$439.4K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Utah Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Mountain View Pediatric Dentistry LLC — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah