Chisholm Family Dentistry INC

Chisholm Family Dentistry INC was paid $133K by Medicaid between Jan 2018 and Mar 2023, across 12 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 34% of everything it billed.

33Billing provider infoCHISHOLM FAMILY DENTISTRY INC
MONROE, UT 84754

33aNPI1255499083assigned 12/05/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$133K

24GClaims2,476

24DCodes billed12

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#47 of 225

Median peer was paid$21K

This provider vs. median6.2×

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	1,378	$69K
2019	849	$52K
2020	203	$12K
2022	33	$56.67
2023	13	$278.72

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2150	Silver amalgam - two surfaces, primary or permanent	34%	705	343	$45K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	32%	472	467	$43K
D1206	Topical application of fluoride varnish	13%	295	292	$18K
D0140	Limited oral evaluation - problem focused	8.5%	106	93	$11K
D2140		4.1%	88	64	$5K
D0220	Intraoral - periapical first radiographic image	3.3%	168	159	$4K
D2160		2.3%	61	46	$3K
D1120	Dental cleaning, childProphylaxis - child	1.5%	260	258	$2K
D1110	Prophylaxis - adult	<1%	45	43	$1K
D0274	Bitewings - four radiographic images	<1%	96	94	$260.95
D0230	Intraoral - periapical each additional radiographic image	<1%	139	45	$32.28
D0272	Bitewings - two radiographic images	0%	41	41	$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.

From NPPES

Who's on the registration

Authorized officialCHILSHOLM, RICHARD (DENTIST OWNER)