Dental
Modern Dental Professionals Utah, PC
Modern Dental Professionals Utah, PC was paid $8K by Medicaid between Jan 2018 and Oct 2020, across 7 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 43% of everything it billed.
33Billing provider infoMODERN DENTAL PROFESSIONALS UTAH, PC
OGDEN, UT 84405
OGDEN, UT 84405
33aNPI1336404763assigned 07/11/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$8K
24GClaims373
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#143 of 225
Median peer was paid$21K
This provider vs. median0.4×
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 | 286 | $6K | |
| 2019 | 14 | $13.98 | |
| 2020 | 73 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 43% | 126 | 119 | $3K |
| D0274 | Bitewings - four radiographic images | 28% | 61 | 57 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 29 | 29 | $1K |
| D1206 | Topical application of fluoride varnish | 5.5% | 16 | 15 | $411.64 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.2% | 13 | 12 | $393.57 |
| D1120 | Dental cleaning, childProphylaxis - child | 1.9% | 33 | 32 | $144.42 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 95 | 87 | $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 officialMARTINEZ, LILIANA (CREDENTIALING DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Modern Dental Professionals Ut, PC | South Ogden, UT | $22K |
| 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.