Ericksen, Taylor

Ericksen, Taylor was paid $6K by Medicaid between Aug 2018 and Jun 2019, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 44% of everything it billed.

33Billing provider infoERICKSEN, TAYLOR
SOUTH OGDEN, UT 84403

33aNPI1326423872assigned 07/27/2015

33bProvider typeDentist

28Total paid$6K

24GClaims164

24DCodes billed5

24AFirst – last monthAug 2018 – Jun 2019

Compared with peers

Next to other Dentist providers in Utah

Rank by total paid#101 of 136

Median peer was paid$35K

This provider vs. median0.2×

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	85	$3K
2019	79	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	44%	49	49	$3K
D1120	Dental cleaning, childProphylaxis - child	34%	28	28	$2K
D2150	Silver amalgam - two surfaces, primary or permanent	22%	22	12	$1K
D0274	Bitewings - four radiographic images	<1%	28	28	$49.41
D1206	Topical application of fluoride varnish	0%	37	37	$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.