Woodland, Byron

Woodland, Byron was paid $6K by Medicaid between Jun 2021 and Dec 2021, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 48% of everything it billed.

33Billing provider infoWOODLAND, BYRON
NEPHI, UT 84648

33aNPI1073632055assigned 03/28/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims263

24DCodes billed7

24AFirst – last monthJun 2021 – Dec 2021

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#150 of 225

Median peer was paid$21K

This provider vs. median0.3×

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	263	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	48%	56	56	$3K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	33%	13	13	$2K
D0210	Intraoral - complete series of radiographic images	19%	42	42	$1K
D1110	Prophylaxis - adult	0%	57	57	$0.00
D4355		0%	42	42	$0.00
D1206	Topical application of fluoride varnish	0%	40	40	$0.00
D9222		0%	13	13	$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.