Dental
Tidwell, Austin
Tidwell, Austin was paid $199K by Medicaid between Feb 2023 and Dec 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoTIDWELL, AUSTIN
PLEASANT GROVE, UT 84062
PLEASANT GROVE, UT 84062
33aNPI1265059091assigned 06/27/2020
33bProvider typeDentist
28Total paid$199K
24GClaims6,208
24DCodes billed14
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in Utah
Rank by total paid#31 of 136
Median peer was paid$35K
This provider vs. median5.7×
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 | |
|---|---|---|---|
| 2023 | 3,667 | $115K | |
| 2024incomplete | 2,541 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 1,248 | 1,246 | $53K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,090 | 1,089 | $29K |
| D1206 | Topical application of fluoride varnish | 12% | 1,232 | 1,230 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 241 | 129 | $23K |
| D0272 | Bitewings - two radiographic images | 11% | 801 | 801 | $21K |
| D0274 | Bitewings - four radiographic images | 4.8% | 256 | 255 | $10K |
| D1351 | Sealant - per tooth | 4.4% | 283 | 55 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 199 | 198 | $8K |
| D0330 | Panoramic radiographic image | 3.2% | 92 | 92 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 405 | 400 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 64 | 39 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 264 | 246 | $3K |
2 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.