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
WEST VALLEY CITY, UT 84120
33aNPI1619175197assigned 07/06/2007
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
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
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 | |
|---|---|---|---|
| 2021 | 26 | $2K | |
| 2022 | 13 | $773.77 | |
| 2023 | 42 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)