Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MODERN DENTAL PROFESSIONALS - UTAH, PC

NPI: 1437556404 · TAYLORSVILLE, UT 84123 · Dentist · NPI assigned 11/19/2014

$7K
Total Medicaid Paid
155
Total Claims
139
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-03
Last Month

Provider Details

Authorized OfficialMARTINEZ, LILIANA (CREDENTIALING DIRECTOR)
NPI Enumeration Date11/19/2014

Related Entities

Other providers sharing the same authorized official: MARTINEZ, LILIANA

ProviderCityStateTotal Paid
MODERN DENTAL PROFESSIONALS UT, PC SOUTH OGDEN UT $22K
MODERN DENTAL PROFESSIONALS UTAH, PC OGDEN UT $8K
MODERN DENTAL PROFESSIONALS - UTAH, PC AMERICAN FORK UT $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 86 $1K
2020 28 $2K
2021 41 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 43 43 $5K
D0140 Limited oral evaluation - problem focused 28 25 $648.16
D0220 Intraoral - periapical first radiographic image 58 45 $438.91
D0274 Bitewings - four radiographic images 14 14 $0.00
D0210 Intraoral - complete series of radiographic images 12 12 $0.00