Dental
Utibe Effiom DDS, INC.
Utibe Effiom DDS, INC. was paid $181K by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is D4910, — 21% of everything it billed.
33Billing provider infoUTIBE EFFIOM DDS, INC.
LOS ANGELES, CA 90062
LOS ANGELES, CA 90062
33aNPI1861938474assigned 01/06/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$181K
24GClaims5,188
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,320 of 2,668
Median peer was paid$173K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 1,356 | $46K | |
| 2019 | 733 | $31K | |
| 2020 | 967 | $35K | |
| 2021 | 632 | $21K | |
| 2022 | 560 | $18K | |
| 2023 | 744 | $23K | |
| 2024incomplete | 196 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D4910 | 21% | 451 | 447 | $38K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 18% | 562 | 560 | $33K |
| D0210 | Intraoral - complete series of radiographic images | 15% | 600 | 596 | $27K |
| D0350 | 8.2% | 1,190 | 642 | $15K | |
| D4341 | 7.9% | 213 | 63 | $14K | |
| D9110 | 7.8% | 243 | 236 | $14K | |
| D1208 | Topical application of fluoride, excluding varnish | 5.3% | 542 | 540 | $10K |
| D9430 | 4.5% | 257 | 227 | $8K | |
| D9910 | 3.1% | 109 | 107 | $6K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 83 | 27 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 722 | 368 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.3% | 47 | 47 | $2K |
5 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.
From NPPES
Who's on the registration
Authorized officialEFFIOM, UTIBE (PRESIDENT)