Dental
Visser, Eric
Visser, Eric was paid $193K by Medicaid between Jan 2019 and Nov 2024, across 12 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 20% of everything it billed.
33Billing provider infoVISSER, ERIC
SALT LAKE CITY, UT 84102
SALT LAKE CITY, UT 84102
33aNPI1053627844assigned 08/31/2010
33bProvider typeDentist
28Total paid$193K
24GClaims6,445
24DCodes billed12
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Dentist providers in Utah
Rank by total paid#33 of 136
Median peer was paid$35K
This provider vs. median5.5×
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 | 813 | $17K | |
| 2020 | 862 | $27K | |
| 2021 | 385 | $11K | |
| 2022 | 953 | $29K | |
| 2023 | 1,651 | $54K | |
| 2024incomplete | 1,781 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 20% | 1,219 | 1,200 | $39K |
| D0230 | Intraoral - periapical each additional radiographic image | 19% | 985 | 905 | $36K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 983 | 966 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 306 | 145 | $28K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,007 | 996 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 5.9% | 1,126 | 1,111 | $11K |
| D0274 | Bitewings - four radiographic images | 5.2% | 352 | 343 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 201 | 200 | $7K |
| D0330 | Panoramic radiographic image | 1.9% | 70 | 69 | $4K |
| D1110 | Prophylaxis - adult | 1.2% | 46 | 46 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 133 | 133 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17 | 13 | $965.64 |
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.