Dental
Intermountain Dentures PLLC
Intermountain Dentures PLLC was paid $45K by Medicaid between Mar 2023 and Sep 2024, across 4 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 82% of everything it billed.
33Billing provider infoINTERMOUNTAIN DENTURES PLLC
ST GEORGE, UT 84770
ST GEORGE, UT 84770
33aNPI1659652519assigned 09/06/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$45K
24GClaims805
24DCodes billed4
24AFirst – last monthMar 2023 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#82 of 225
Median peer was paid$21K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2023 | 495 | $28K | |
| 2024incomplete | 310 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 82% | 426 | 70 | $37K |
| D0140 | Limited oral evaluation - problem focused | 8.4% | 124 | 124 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 7.5% | 240 | 217 | $3K |
| D1110 | Prophylaxis - adult | 1.6% | 15 | 15 | $729.72 |
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 officialHANSON, ERIC (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Knott Street Dermatology PC | Portland, OR | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.