Dental
SJ Oral Surgery PC
SJ Oral Surgery PC was paid $2K by Medicaid between Sep 2020 and Sep 2020, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoSJ ORAL SURGERY PC
SOUTH JORDAN, UT 84009
SOUTH JORDAN, UT 84009
33aNPI1316442841assigned 03/27/2018
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$2K
24GClaims39
24DCodes billed3
24AFirst – last monthSep 2020 – Sep 2020
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Utah
Rank by total paid#14 of 21
Median peer was paid$6K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 39 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 15 | 15 | $2K |
| D1206 | Topical application of fluoride varnish | 0% | 12 | 12 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 12 | 12 | $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 officialJENSEN, DAYNE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Yuma Sonoma Oral Surgery, P.C. | Yuma, AZ | $450K |
| Cheyenne Mountain Oral Surgery PC | Colorado Springs, CO | $15K |
| Albuquerque Oral Surgery, P.C. | Albuquerque, NM | $4K |
| Gilbert Sonoma Oral Surgery, P.C. | Gilbert, AZ | $2K |
| ST. George Red Rocks PC | St George, UT | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.