Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › PROVO › MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC

MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC

NPI: 1144829946 · PROVO, UT 84606 · Dentist · NPI assigned 10/22/2020

$7K
Total Medicaid Paid
188
Total Claims
180
Beneficiaries
5
Codes Billed
2021-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJOHNSON, ERIC (FINANCIAL DIRECTOR)
Parent OrganizationMOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
NPI Enumeration Date10/22/2020

Related Entities

Other providers sharing the same authorized official: JOHNSON, ERIC

ProviderCityStateTotal Paid
NORTHERN HUMAN SERVICES CONWAY NH $64.82M
CITY OF BETHEL BETHEL AK $686K
DULUTHTMS, LLC DULUTH MN $229K
ERIC E JOHNSON MD PC PLYMOUTH MA $47K
EYE HEALTH SERVICES, INC SOUTH YARMOUTH MA $42K
SOUTHEAST IDAHO ORTHODONTICS, PLLC POCATELLO ID $39K
MILE HIGH SMILES PLLC DENVER CO $30K
RESNIK MEDICAL ASSOCIATES PC PLYMOUTH MA $11K
ERIC JOHNSON LLC THORNTON CO $11K
MAYFLOWER MEDICAL ASSOCIATES PC PLYMOUTH MA $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 35 $1K
2022 127 $5K
2023 13 $770.91
2024 13 $557.05

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 52 50 $2K
D0220 Intraoral - periapical first radiographic image 41 39 $2K
D0330 Panoramic radiographic image 13 13 $2K
D0140 Limited oral evaluation - problem focused 55 53 $264.62
D0150 Comprehensive oral evaluation - new or established patient 27 25 $35.71