Dental
Cornelius, Jeffery
Cornelius, Jeffery was paid $91K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 79% of everything it billed.
33Billing provider infoCORNELIUS, JEFFERY
MOAB, UT 84532
MOAB, UT 84532
33aNPI1376698324assigned 01/23/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$91K
24GClaims2,753
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#64 of 225
Median peer was paid$21K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2018 | 1,305 | $42K | |
| 2019 | 710 | $21K | |
| 2020 | 118 | $4K | |
| 2021 | 43 | $1K | |
| 2023 | 319 | $12K | |
| 2024incomplete | 258 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 79% | 895 | 868 | $72K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 798 | 777 | $11K |
| D1206 | Topical application of fluoride varnish | 5.2% | 872 | 848 | $5K |
| D1351 | Sealant - per tooth | 2.2% | 74 | 13 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 12 | 12 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 44 | 41 | $91.61 |
| D0272 | Bitewings - two radiographic images | 0% | 44 | 44 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 14 | 14 | $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.