Dental
Mandelaris, Jason
Mandelaris, Jason was paid $670K by Medicaid between Jan 2018 and Sep 2023, across 18 billing codes. Its largest line is D0120, dental checkup, returning patient — 54% of everything it billed.
33Billing provider infoMANDELARIS, JASON
LINDON, UT 84042
LINDON, UT 84042
33aNPI1811144785assigned 08/22/2008
33bProvider typePediatric Dentist
28Total paid$670K
24GClaims25,731
24DCodes billed18
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#50 of 152
Median peer was paid$311K
This provider vs. median2.2×
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 | 9,948 | $223K | |
| 2019 | 7,291 | $167K | |
| 2020 | 6,101 | $164K | |
| 2021 | 2,282 | $114K | |
| 2023 | 109 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 54% | 3,754 | 3,730 | $359K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.6% | 733 | 343 | $51K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.3% | 570 | 119 | $42K |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 3,867 | 3,829 | $38K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.5% | 3,828 | 3,800 | $30K |
| D1351 | Sealant - per tooth | 4.4% | 1,062 | 137 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 257 | 256 | $27K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.9% | 332 | 80 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 266 | 147 | $18K |
| D9420 | 2.4% | 170 | 168 | $16K | |
| D0272 | Bitewings - two radiographic images | 2.2% | 2,007 | 1,989 | $15K |
| D2140 | 2.2% | 265 | 164 | $15K |
6 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 104 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,672 | $3K |
| D0330 | Panoramic radiographic image | <1% | 182 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 4,021 | $854.34 |
| D1110 | Prophylaxis - adult | <1% | 177 | $601.16 |
| D0274 | Bitewings - four radiographic images | <1% | 464 | $189.42 |
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.