Dental
Modern Dental Professionals Ut, PC
Modern Dental Professionals Ut, PC was paid $22K by Medicaid between Nov 2018 and Sep 2024, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 70% of everything it billed.
33Billing provider infoMODERN DENTAL PROFESSIONALS UT, PC
SOUTH OGDEN, UT 84403
SOUTH OGDEN, UT 84403
33aNPI1265889166assigned 05/20/2016
33bProvider typeDentist
28Total paid$22K
24GClaims400
24DCodes billed8
24AFirst – last monthNov 2018 – Sep 2024
Compared with peers
Next to other Dentist providers in Utah
Rank by total paid#81 of 136
Median peer was paid$35K
This provider vs. median0.6×
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 | 14 | $1K | |
| 2019 | 212 | $13K | |
| 2020 | 58 | $5K | |
| 2024incomplete | 116 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 70% | 155 | 155 | $15K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 17% | 38 | 12 | $4K |
| D0274 | Bitewings - four radiographic images | 5.2% | 63 | 63 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 57 | 52 | $496.71 |
| D0210 | Intraoral - complete series of radiographic images | 1.6% | 24 | 24 | $343.86 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.6% | 13 | 13 | $341.93 |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 26 | 26 | $273.45 |
| D1206 | Topical application of fluoride varnish | 1.2% | 24 | 24 | $264.35 |
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 officialMARTINEZ, LILIANA (CREDENTIALING DIRECTOR)
Parent organizationMODERN DENTAL PROFESSIONALS UT, PC
| Provider | Location | Paid |
|---|---|---|
| Modern Dental Professionals Utah, PC | Ogden, UT | $8K |
| Modern Dental Professionals - Utah, PC | Taylorsville, UT | $7K |
| Modern Dental Professionals - Utah, PC | American Fork, UT | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.