Dodge, Keith

Dodge, Keith was paid $79K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 57% of everything it billed.

33Billing provider infoDODGE, KEITH
OREM, UT 84057

33aNPI1447489836assigned 07/07/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$79K

24GClaims2,655

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#67 of 225

Median peer was paid$21K

This provider vs. median3.7×

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	150	$2K
2019	352	$8K
2020	358	$9K
2021	526	$17K
2022	494	$20K
2023	378	$11K
2024incomplete	397	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	57%	1,081	1,054	$46K
D1110	Prophylaxis - adult	17%	537	520	$14K
D0274	Bitewings - four radiographic images	9.5%	342	330	$8K
D1206	Topical application of fluoride varnish	4.9%	254	244	$4K
D1120	Dental cleaning, childProphylaxis - child	4.7%	170	160	$4K
D0220	Intraoral - periapical first radiographic image	4.6%	167	155	$4K
D0272	Bitewings - two radiographic images	<1%	45	42	$716.61
D0230	Intraoral - periapical each additional radiographic image	<1%	59	40	$524.81

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.