Wolthuis, Bart

Wolthuis, Bart was paid $18K by Medicaid between Jun 2019 and Nov 2022, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 72% of everything it billed.

33Billing provider infoWOLTHUIS, BART
OGDEN, UT 84404

33aNPI1023150679assigned 02/12/2007

33bProvider typeDentist

28Total paid$18K

24GClaims1,053

24DCodes billed7

24AFirst – last monthJun 2019 – Nov 2022

Compared with peers

Next to other Dentist providers in Utah

Rank by total paid#84 of 136

Median peer was paid$35K

This provider vs. median0.5×

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	94	$0.00
2020	280	$3K
2021	285	$3K
2022	394	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	72%	117	115	$13K
D0150	Comprehensive oral evaluation - new or established patient	9.5%	14	14	$2K
D0272	Bitewings - two radiographic images	8.8%	43	42	$2K
D0220	Intraoral - periapical first radiographic image	7.9%	280	268	$1K
D1120	Dental cleaning, childProphylaxis - child	<1%	199	198	$161.50
D1206	Topical application of fluoride varnish	<1%	177	177	$141.31
D0230	Intraoral - periapical each additional radiographic image	0%	223	205	$0.00

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.