Albrechtsen, Jon

Albrechtsen, Jon was paid $8K by Medicaid between Jun 2018 and Apr 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 71% of everything it billed.

33Billing provider infoALBRECHTSEN, JON
NORTH OGDEN, UT 84414

33aNPI1134289820assigned 12/11/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$8K

24GClaims237

24DCodes billed6

24AFirst – last monthJun 2018 – Apr 2024

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#140 of 225

Median peer was paid$21K

This provider vs. median0.4×

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	47	$2K
2019	75	$3K
2024incomplete	115	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	71%	78	78	$6K
D1120	Dental cleaning, childProphylaxis - child	8.7%	42	42	$698.40
D1206	Topical application of fluoride varnish	8.6%	49	49	$690.28
D0274	Bitewings - four radiographic images	8.6%	16	16	$685.60
D0220	Intraoral - periapical first radiographic image	3.4%	31	31	$273.09
D0230	Intraoral - periapical each additional radiographic image	0%	21	14	$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.