Ericksen, Kurt

Ericksen, Kurt was paid $2K by Medicaid between Sep 2023 and Oct 2023, across 4 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 43% of everything it billed.

33Billing provider infoERICKSEN, KURT
HERRIMAN, UT 84096

33aNPI1124683172assigned 05/06/2019

33bProvider typeDentist

28Total paid$2K

24GClaims108

24DCodes billed4

24AFirst – last monthSep 2023 – Oct 2023

Compared with peers

Next to other Dentist providers in Utah

Rank by total paid#116 of 136

Median peer was paid$35K

This provider vs. median0.1×

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
2023	108	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0274	Bitewings - four radiographic images	43%	48	31	$1K
D1110	Prophylaxis - adult	32%	17	15	$800.43
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	15	14	$349.74
D0220	Intraoral - periapical first radiographic image	11%	28	13	$266.10

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.