Trujillo, Tate

Trujillo, Tate was paid $9K by Medicaid between Jul 2024 and Nov 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoTRUJILLO, TATE
SYRACUSE, UT 84075

33aNPI1255891511assigned 03/22/2019

33bProvider typePediatric Dentist

28Total paid$9K

24GClaims408

24DCodes billed6

24AFirst – last monthJul 2024 – Nov 2024

Compared with peers

Next to other Pediatric Dentist providers in Utah

Rank by total paid#139 of 152

Median peer was paid$311K

This provider vs. median0.0×

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
2024incomplete	408	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	30%	69	69	$3K
D1206	Topical application of fluoride varnish	22%	105	105	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	59	59	$2K
D0272	Bitewings - two radiographic images	15%	59	58	$1K
D0220	Intraoral - periapical first radiographic image	10%	66	66	$971.62
D0230	Intraoral - periapical each additional radiographic image	6.1%	50	50	$570.88

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.