Dental
Pelton, Ritchie
Pelton, Ritchie was paid $132K by Medicaid between Jan 2018 and Mar 2021, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 45% of everything it billed.
33Billing provider infoPELTON, RITCHIE
OREM, UT 84097
OREM, UT 84097
33aNPI1619315454assigned 06/13/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$132K
24GClaims2,694
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#48 of 225
Median peer was paid$21K
This provider vs. median6.2×
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 | 671 | $22K | |
| 2019 | 1,257 | $61K | |
| 2020 | 657 | $44K | |
| 2021 | 109 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 45% | 501 | 500 | $59K |
| D0272 | Bitewings - two radiographic images | 15% | 380 | 379 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 240 | 226 | $18K |
| D2160 | 9.2% | 208 | 100 | $12K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 8.0% | 185 | 105 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 483 | 482 | $3K |
| D9420 | 1.8% | 15 | 14 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 15 | 15 | $2K |
| D0274 | Bitewings - four radiographic images | 1.6% | 133 | 132 | $2K |
| D2161 | <1% | 20 | 12 | $1K | |
| D0330 | Panoramic radiographic image | <1% | 26 | 26 | $528.49 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 19 | 14 | $256.15 |
2 more codes
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.