Draper, Mary

Draper, Mary was paid $6K by Medicaid between Mar 2019 and Feb 2021, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 94% of everything it billed.

33Billing provider infoDRAPER, MARY
OGDEN, UT 84405

33aNPI1205047248assigned 05/24/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims111

24DCodes billed3

24AFirst – last monthMar 2019 – Feb 2021

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#146 of 225

Median peer was paid$21K

This provider vs. median0.3×

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
2019	37	$2K
2020	34	$3K
2021	40	$844.37

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	94%	73	73	$6K
D1120	Dental cleaning, childProphylaxis - child	4.5%	25	25	$288.00
D1206	Topical application of fluoride varnish	1.3%	13	13	$80.75

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.