Dental
Modern Dental Professionals - Utah, PC
Modern Dental Professionals - Utah, PC was paid $7K by Medicaid between Jan 2018 and Mar 2021, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 83% of everything it billed.
33Billing provider infoMODERN DENTAL PROFESSIONALS - UTAH, PC
TAYLORSVILLE, UT 84123
TAYLORSVILLE, UT 84123
33aNPI1437556404assigned 11/19/2014
33bProvider typeDentist
28Total paid$7K
24GClaims155
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Dentist providers in Utah
Rank by total paid#99 of 136
Median peer was paid$35K
This provider vs. median0.2×
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 | 86 | $1K | |
| 2020 | 28 | $2K | |
| 2021 | 41 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 83% | 43 | 43 | $5K |
| D0140 | Limited oral evaluation - problem focused | 9.9% | 28 | 25 | $648.16 |
| D0220 | Intraoral - periapical first radiographic image | 6.7% | 58 | 45 | $438.91 |
| D0274 | Bitewings - four radiographic images | 0% | 14 | 14 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 12 | 12 | $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 | Ogden, UT | $8K |
| 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.