Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › UT › West Valley City › NPI 1619175197
Dental

JXC LLC

JXC LLC was paid $5K by Medicaid between Aug 2021 and Mar 2023, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 57% of everything it billed.

33Billing provider infoJXC LLC
WEST VALLEY CITY, UT 84120
33aNPI1619175197assigned 07/06/2007
28Total paid$5K
24GClaims81
24DCodes billed3
24AFirst – last monthAug 2021 – Mar 2023
Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Utah

Rank by total paid#19 of 27
Median peer was paid$68K
This provider vs. median0.1×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
202126$2K
202213$773.77
202342$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 57% 41 41 $3K
D0470 25% 27 27 $1K
D0330 Panoramic radiographic image 18% 13 13 $822.38

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 officialCONWAY, BRION (MANAGING MEMBER)