Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Utah (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Out Of This World Dentistry Wj PC (NPI 1336548841)

Field	Value
Entity Type	Organization
Organization	Out Of This World Dentistry Wj PC
Address	6787 S Redwood Rd
City	West Jordan
State	UT
ZIP	84084
Taxonomy	Pediatric Dentistry
NPI Enumerated	August 20, 2014

Payer Source	Total Paid
Medicaid	$782.5K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	4,880	$80	$400.1K
D2150	Amalgam - two surfaces, primary or permanent	850	$80	$63.7K
D1120	Prophylaxis–child	4,830	$10	$58K
D2392	Post 2 surface resin‑based composite	440	$100	$41.6K
D1351	Sealant - per tooth	1,320	$30	$38.2K
D2140	Amalgam - one surface, primary or permanent	570	$60	$34K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	5,050	$10	$25.3K
D0150	Comprehensive oral evaluation – new or established patient	270	$80	$22.2K
D0220	Intraoral - periapical first radiographic image	2,920	$10	$20.4K
D0272	N/A	2,420	$10	$19.3K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

Claims Volume vs. Utah Distribution

Out Of This World Dentistry Wj PC — 0 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	48	470	460	$80	$149.8K
D1351	Sealant - per tooth	57	190	620	$30	$60.7K
D0140	Limited oral evaluation – problem focused	232	260	140	$120	$55.8K
D2150	Amalgam - two surfaces, primary or permanent	59	220	290	$60	$45K
D2392	Post 2 surface resin‑based composite	50	170	170	$80	$39.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	99	150	170	$60	$35.9K
D0220	Intraoral - periapical first radiographic image	60	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	123	420	110	$100	$30.8K
D1120	Prophylaxis–child	49	420	440	$20	$30.7K
D9248	N/A	24	30	50	$120	$29K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Out Of This World Dentistry Wj PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spencer Allen	UT	Pediatric Dentistry	$0	$304.2K

Nearby Providers

Other providers in the same ZIP code as Out Of This World Dentistry Wj PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ut Bcdo Specialty Dental Services, PLLC	UT	Pediatric Dentistry	$0	$14M
Clinical Consultants Limited Liability Company	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.5M
City Of West Jordan	UT	Ambulance	$168.3K	$3M
R Ryan Johansen	UT	Pediatric Dentistry	$0	$2.9M
Darren B. Jenkins, D.o.,p.c.	UT	Family Medicine Physician	$0	$782.7K
Darin Knudson	UT	Dentist	$0	$777.7K
Altium Health LLC	UT	Substance Abuse Rehabilitation Facility	$0	$630.9K
Clinical Consultants, LLC	UT	Clinical Medical Laboratory	$0	$603.3K
Robert Nielson	UT	General Practice Dentistry	$0	$501K
Creek Capital Oquirrh Park LLC	UT	Pediatric Dentistry	$0	$459.1K

Out Of This World Dentistry Wj PC — Billing Profile & Reimbursement Data

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Out Of This World Dentistry Wj PC — Billing Profile & Reimbursement Data

Sign up for Out Of This World Dentistry Wj PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References