Dental
Jensen, Trevor
Jensen, Trevor was paid $123K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoJENSEN, TREVOR
COTTONWOOD HEIGHTS, UT 84121
COTTONWOOD HEIGHTS, UT 84121
33aNPI1073792776assigned 10/30/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$123K
24GClaims25,740
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#51 of 225
Median peer was paid$21K
This provider vs. median5.8×
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 | |
|---|---|---|---|
| 2018 | 7,167 | $27K | |
| 2019 | 4,939 | $20K | |
| 2020 | 2,513 | $11K | |
| 2021 | 2,193 | $15K | |
| 2022 | 2,930 | $17K | |
| 2023 | 2,370 | $18K | |
| 2024incomplete | 3,628 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 4,991 | 4,902 | $33K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 4,901 | 4,825 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 1,163 | 437 | $16K |
| D0272 | Bitewings - two radiographic images | 11% | 3,488 | 3,415 | $13K |
| D1206 | Topical application of fluoride varnish | 6.9% | 2,079 | 2,075 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 6.7% | 3,306 | 3,218 | $8K |
| D1351 | Sealant - per tooth | 4.5% | 1,536 | 428 | $6K |
| D0274 | Bitewings - four radiographic images | 3.3% | 964 | 943 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 600 | 571 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 138 | 69 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 958 | 911 | $2K |
| D0240 | 1.3% | 707 | 320 | $2K |
8 more codes
| D1110 | Prophylaxis - adult | 1.1% | 230 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 220 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 21 | $800.80 |
| D0140 | Limited oral evaluation - problem focused | <1% | 183 | $728.79 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 23 | $343.83 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 67 | $104.58 |
| D1354 | <1% | 153 | $36.76 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 12 | $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.