Dental
Weston, Mark
Weston, Mark was paid $24K by Medicaid between Jan 2018 and Feb 2020, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.
33Billing provider infoWESTON, MARK
GARDEN CITY, UT 84028
GARDEN CITY, UT 84028
33aNPI1114016250assigned 10/12/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$24K
24GClaims717
24DCodes billed5
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#103 of 225
Median peer was paid$21K
This provider vs. median1.1×
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 | 346 | $11K | |
| 2019 | 318 | $11K | |
| 2020 | 53 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 46% | 300 | 300 | $11K |
| D1206 | Topical application of fluoride varnish | 22% | 210 | 210 | $5K |
| D1110 | Prophylaxis - adult | 18% | 95 | 95 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 98 | 98 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 14 | 14 | $315.00 |
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.