Chavez, Juan

Chavez, Juan was paid $22K by Medicaid between Jan 2018 and Apr 2019, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 56% of everything it billed.

33Billing provider infoCHAVEZ, JUAN
OREM, UT 84097

33aNPI1295033843assigned 03/07/2011

33bProvider typeGeneral Practice Dentistry

28Total paid$22K

24GClaims1,136

24DCodes billed9

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#110 of 225

Median peer was paid$21K

This provider vs. median1.0×

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
2018	642	$12K
2019	494	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	56%	117	106	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	40%	95	83	$9K
D1110	Prophylaxis - adult	3.4%	166	142	$761.48
D0230	Intraoral - periapical each additional radiographic image	<1%	266	140	$84.63
D0220	Intraoral - periapical first radiographic image	<1%	234	204	$11.68
D0274	Bitewings - four radiographic images	0%	133	116	$0.00
D1120	Dental cleaning, childProphylaxis - child	0%	16	16	$0.00
D0210	Intraoral - complete series of radiographic images	0%	61	52	$0.00
D1206	Topical application of fluoride varnish	0%	48	43	$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.