Dental
Brauer, Jack
Brauer, Jack was paid $34K by Medicaid between Sep 2020 and Mar 2021, across 7 billing codes. Its largest line is D4355, — 40% of everything it billed.
33Billing provider infoBRAUER, JACK
MIDWAY, UT 84049
MIDWAY, UT 84049
33aNPI1407187362assigned 01/15/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$34K
24GClaims966
24DCodes billed7
24AFirst – last monthSep 2020 – Mar 2021
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#93 of 225
Median peer was paid$21K
This provider vs. median1.6×
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 | 248 | $12K | |
| 2021 | 718 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4355 | 40% | 131 | 114 | $14K | |
| D0140 | Limited oral evaluation - problem focused | 24% | 297 | 258 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 132 | 106 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 202 | 154 | $4K |
| D1110 | Prophylaxis - adult | 8.1% | 47 | 43 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 3.9% | 20 | 14 | $1K |
| D9995 | 0% | 137 | 112 | $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.