Dental
Timpanogas Pediatric Dentistry
Timpanogas Pediatric Dentistry was paid $396K by Medicaid between Jan 2018 and Aug 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 61% of everything it billed.
33Billing provider infoTIMPANOGAS PEDIATRIC DENTISTRY
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
33aNPI1225184625assigned 01/26/2007
33bProvider typePediatric Dentist
28Total paid$396K
24GClaims13,912
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#68 of 152
Median peer was paid$311K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2018 | 2,504 | $68K | |
| 2019 | 2,695 | $82K | |
| 2020 | 1,876 | $51K | |
| 2021 | 1,476 | $38K | |
| 2022 | 2,536 | $75K | |
| 2023 | 1,787 | $49K | |
| 2024incomplete | 1,038 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 61% | 3,203 | 3,161 | $241K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 13% | 1,020 | 379 | $53K |
| D0272 | Bitewings - two radiographic images | 6.4% | 3,288 | 3,240 | $25K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 3,073 | 3,029 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.2% | 305 | 120 | $16K |
| D1351 | Sealant - per tooth | 3.9% | 546 | 82 | $15K |
| D2140 | 1.7% | 309 | 154 | $7K | |
| D1206 | Topical application of fluoride varnish | 1.3% | 1,749 | 1,742 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 57 | 57 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 47 | 29 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 55 | 55 | $1K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 39 | 12 | $1K |
4 more codes
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.
From NPPES
Who's on the registration
Authorized officialJENSEN, SCOTT (SURGEON)
| Provider | Location | Paid |
|---|---|---|
| Scott M Jensen DMD PA | Greensboro, NC | $3.68M |
| American Leadership Academy | Queen Creek, AZ | $146K |
| Scott M. Jensen M.D. INC. | Vernon, AZ | $57K |
| Catalyst Medical Clinic PA | Watertown, MN | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.