Dental
Traveller, Jaron
Traveller, Jaron was paid $163K by Medicaid between Jan 2018 and May 2019, across 14 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 32% of everything it billed.
33Billing provider infoTRAVELLER, JARON
SANDY, UT 84093
SANDY, UT 84093
33aNPI1578903670assigned 07/03/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$163K
24GClaims3,445
24DCodes billed14
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#42 of 225
Median peer was paid$21K
This provider vs. median7.6×
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 | 2,727 | $132K | |
| 2019 | 718 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 32% | 540 | 179 | $52K |
| D0230 | Intraoral - periapical each additional radiographic image | 15% | 473 | 467 | $24K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 13% | 196 | 96 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.0% | 347 | 345 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.7% | 91 | 56 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 698 | 682 | $8K |
| D1110 | Prophylaxis - adult | 3.9% | 159 | 158 | $6K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 170 | 167 | $5K |
| D2950 | 3.2% | 42 | 39 | $5K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.7% | 202 | 199 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 2.5% | 410 | 408 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 25 | 16 | $3K |
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.