Dental
Sanger, Jordan
Sanger, Jordan was paid $1K by Medicaid between Nov 2021 and Apr 2022, across 4 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 100% of everything it billed.
33Billing provider infoSANGER, JORDAN
MIDVALE, UT 84047
MIDVALE, UT 84047
33aNPI1043838840assigned 07/08/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$1K
24GClaims244
24DCodes billed4
24AFirst – last monthNov 2021 – Apr 2022
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#201 of 225
Median peer was paid$21K
This provider vs. median0.0×
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 | 58 | $597.21 | |
| 2022 | 186 | $412.95 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 100% | 69 | 69 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 0% | 84 | 80 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 27 | 27 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 64 | 30 | $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.