Ellingson, William

Ellingson, William was paid $39K by Medicaid between Jan 2018 and Sep 2021, across 10 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 39% of everything it billed.

33Billing provider infoELLINGSON, WILLIAM
SANDY, UT 84094

33aNPI1447570403assigned 06/01/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$39K

24GClaims2,041

24DCodes billed10

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#87 of 225

Median peer was paid$21K

This provider vs. median1.8×

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	165	$677.27
2019	728	$14K
2020	501	$13K
2021	647	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	39%	123	118	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	37%	137	136	$14K
D0220	Intraoral - periapical first radiographic image	12%	538	502	$5K
D1110	Prophylaxis - adult	4.5%	78	77	$2K
D1206	Topical application of fluoride varnish	2.7%	86	86	$1K
D0330	Panoramic radiographic image	1.8%	48	45	$704.65
D0274	Bitewings - four radiographic images	1.4%	287	274	$533.61
D0230	Intraoral - periapical each additional radiographic image	<1%	648	353	$341.42
D1120	Dental cleaning, childProphylaxis - child	<1%	81	81	$49.65
D0272	Bitewings - two radiographic images	0%	15	15	$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.