Jolley, Elliott

Jolley, Elliott was paid $6K by Medicaid between Feb 2023 and Aug 2023, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 45% of everything it billed.

33Billing provider infoJOLLEY, ELLIOTT
VERNAL, UT 84078

33aNPI1699039644assigned 06/25/2012

33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist

28Total paid$6K

24GClaims114

24DCodes billed3

24AFirst – last monthFeb 2023 – Aug 2023

Compared with peers

Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Utah

Rank by total paid#18 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
2023	114	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	45%	51	51	$3K
D0330	Panoramic radiographic image	42%	48	48	$2K
D0470		13%	15	15	$737.60

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.