Dental
PDC- Lehi Utah
PDC- Lehi Utah was paid $12K by Medicaid between Apr 2018 and Dec 2019, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 38% of everything it billed.
33Billing provider infoPDC- LEHI UTAH
LEHL, UT 84043
LEHL, UT 84043
33aNPI1851722383assigned 12/10/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$12K
24GClaims414
24DCodes billed9
24AFirst – last monthApr 2018 – Dec 2019
Compared with peers
Next to other General Practice Dentistry providers in Utah
Rank by total paid#132 of 225
Median peer was paid$21K
This provider vs. median0.6×
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 | 377 | $12K | |
| 2019 | 37 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 38% | 37 | 29 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 24 | 24 | $3K |
| D1351 | Sealant - per tooth | 22% | 89 | 12 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 9.2% | 30 | 13 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.3% | 38 | 30 | $513.98 |
| D1206 | Topical application of fluoride varnish | 2.0% | 69 | 60 | $232.65 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 53 | 52 | $105.81 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 62 | 38 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 12 | 12 | $0.00 |
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 officialWARNER, JACOB (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Lehman Drive PDC PLLC | Colorado Springs, CO | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.