Dental
Rallison, Tyler
Rallison, Tyler was paid $18K by Medicaid between Sep 2021 and Sep 2024, across 7 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 25% of everything it billed.
33Billing provider infoRALLISON, TYLER
CLEARFIELD, UT 84015
CLEARFIELD, UT 84015
33aNPI1891144739assigned 06/10/2016
33bProvider typeDentist
28Total paid$18K
24GClaims627
24DCodes billed7
24AFirst – last monthSep 2021 – Sep 2024
Compared with peers
Next to other Dentist providers in Utah
Rank by total paid#85 of 136
Median peer was paid$35K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 53 | $6K | |
| 2022 | 87 | $534.79 | |
| 2023 | 157 | $4K | |
| 2024incomplete | 330 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 25% | 28 | 14 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 22% | 163 | 140 | $4K |
| D1110 | Prophylaxis - adult | 21% | 85 | 81 | $4K |
| D0274 | Bitewings - four radiographic images | 13% | 70 | 68 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.8% | 168 | 85 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.1% | 40 | 40 | $1K |
| D1206 | Topical application of fluoride varnish | 4.3% | 73 | 68 | $764.00 |
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.