Dental
Modern Dental Professionals - Utah, PC
Modern Dental Professionals - Utah, PC was paid $2K by Medicaid between Jan 2020 and Sep 2020, across 5 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 49% of everything it billed.
33Billing provider infoMODERN DENTAL PROFESSIONALS - UTAH, PC
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
33aNPI1740687706assigned 11/19/2014
33bProvider typeDentist
28Total paid$2K
24GClaims88
24DCodes billed5
24AFirst – last monthJan 2020 – Sep 2020
Compared with peers
Next to other Dentist providers in Utah
Rank by total paid#120 of 136
Median peer was paid$35K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 88 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 49% | 12 | 12 | $836.08 |
| D1206 | Topical application of fluoride varnish | 27% | 12 | 12 | $460.39 |
| D0274 | Bitewings - four radiographic images | 13% | 13 | 13 | $225.91 |
| D0230 | Intraoral - periapical each additional radiographic image | 9.8% | 13 | 13 | $166.91 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 38 | 38 | $13.98 |
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 officialMARTINEZ, LILIANA (CREDENTIALING DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Modern Dental Professionals Ut, PC | South Ogden, UT | $22K |
| Modern Dental Professionals Utah, PC | Ogden, UT | $8K |
| Modern Dental Professionals - Utah, PC | Taylorsville, UT | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.