Chisholm, Richard

Chisholm, Richard was paid $77K by Medicaid between Oct 2020 and Oct 2023, across 12 billing codes. Its largest line is D0220, Intraoral - periapical first radiographic image — 32% of everything it billed.

33Billing provider infoCHISHOLM, RICHARD
MONROE, UT 84754

33aNPI1396079471assigned 09/23/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$77K

24GClaims1,189

24DCodes billed12

24AFirst – last monthOct 2020 – Oct 2023

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#68 of 225

Median peer was paid$21K

This provider vs. median3.6×

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	253	$15K
2021	547	$38K
2022	165	$19K
2023	224	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0220	Intraoral - periapical first radiographic image	32%	366	328	$24K
D0140	Limited oral evaluation - problem focused	32%	240	222	$24K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	183	176	$19K
D2150	Silver amalgam - two surfaces, primary or permanent	6.9%	126	67	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.4%	49	26	$2K
D0274	Bitewings - four radiographic images	1.1%	70	68	$842.91
D1206	Topical application of fluoride varnish	<1%	40	40	$364.09
D0230	Intraoral - periapical each additional radiographic image	<1%	26	14	$227.85
D0330	Panoramic radiographic image	<1%	14	14	$135.51
D9211		0%	20	14	$0.00
D1120	Dental cleaning, childProphylaxis - child	0%	31	31	$0.00
D1110	Prophylaxis - adult	0%	24	24	$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.