Ellis, Jeremy

Ellis, Jeremy was paid $3K by Medicaid between Feb 2018 and Nov 2023, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 98% of everything it billed.

33Billing provider infoELLIS, JEREMY
LOGAN, UT 84321

33aNPI1568558468assigned 10/05/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims67

24DCodes billed3

24AFirst – last monthFeb 2018 – Nov 2023

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#164 of 225

Median peer was paid$21K

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	55	$3K
2023	12	$346.80

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	98%	41	41	$3K
D1120	Dental cleaning, childProphylaxis - child	2.3%	14	14	$76.96
D1206	Topical application of fluoride varnish	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.