Dental
Ellis, Jeffrey
Ellis, Jeffrey was paid $825K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D0120, dental checkup, returning patient — 50% of everything it billed.
33Billing provider infoELLIS, JEFFREY
HEBER CITY, UT 84032
HEBER CITY, UT 84032
33aNPI1679691877assigned 03/26/2007
33bProvider typePediatric Dentist
28Total paid$825K
24GClaims23,697
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#41 of 152
Median peer was paid$311K
This provider vs. median2.7×
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 | 4,570 | $146K | |
| 2019 | 3,459 | $116K | |
| 2020 | 3,804 | $150K | |
| 2021 | 3,420 | $113K | |
| 2022 | 3,479 | $143K | |
| 2023 | 2,296 | $72K | |
| 2024incomplete | 2,669 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 50% | 5,103 | 5,005 | $414K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 1,461 | 1,413 | $127K |
| D0220 | Intraoral - periapical first radiographic image | 8.0% | 334 | 322 | $66K |
| D0272 | Bitewings - two radiographic images | 6.8% | 4,086 | 3,973 | $56K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.7% | 5,393 | 5,272 | $55K |
| D1206 | Topical application of fluoride varnish | 3.6% | 5,531 | 5,413 | $30K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 134 | 120 | $17K |
| D2140 | 2.0% | 337 | 162 | $16K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.7% | 391 | 225 | $14K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.6% | 333 | 94 | $13K |
| D1351 | Sealant - per tooth | 1.1% | 225 | 65 | $9K |
| D1110 | Prophylaxis - adult | <1% | 151 | 149 | $4K |
4 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.