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    OpenPayerNPI Medicare & MedicaidAdam Bushell
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    Adam Bushell — Billing Profile & Reimbursement Data

    NPI 1598755472 · South Jordan, UT · Pediatric Dentistry

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    Adam Bushell is a pediatric dentistry provider located in South Jordan, Utah. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAdam Bushell
    Address3473 W South Jordan Pkwy Ste 3
    CitySouth Jordan
    StateUT
    ZIP84095
    TaxonomyPediatric Dentistry
    NPI EnumeratedOctober 24, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$310.7K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0120Periodic oral evaluation - established patient2,280$80$191.4K
    D2150Amalgam - two surfaces, primary or permanent480$80$35.9K
    D0150Comprehensive oral evaluation – new or established patient220$110$25K
    D1120Prophylaxis–child2,430$10$21.9K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients2,170$1$8.7K
    D0272N/A1,310$10$7.9K
    D0220Intraoral - periapical first radiographic image1,140$10$5.7K
    D2140Amalgam - one surface, primary or permanent70$70$5.1K
    D0230Intraoral - periapical each additional radiographic image1,500$1$4.5K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)50$60$2.7K

    Showing 1–10 of 15

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Utah median

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0120Periodic oral evaluation - established patient110470460$80$149.8K
    D1351Sealant - per tooth180190620$30$60.7K
    D2150Amalgam - two surfaces, primary or permanent91220290$60$45K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)119150170$60$35.9K
    D0220Intraoral - periapical first radiographic image136440470$20$32.8K
    D0150Comprehensive oral evaluation – new or established patient155420110$100$30.8K
    D1120Prophylaxis–child99420440$20$30.7K
    D2140Amalgam - one surface, primary or permanent108170200$50$25.2K
    D0272N/A101310550$20$24.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients112430460$10$13.8K

    Showing 1–10 of 15

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Adam Bushell, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tyler ReadingUTPediatric Dentistry$0$2.1M
    Ari HobfollUTPediatric Dentistry$0$1.3M
    Jeffrey EllisUTPediatric Dentistry$0$822.7K
    Mark WardUTGeneral Practice Dentistry$0$659.8K
    Troy HardyUTPediatric Dentistry$0$460.7K
    John ReimschiisselUTPediatric Dentistry$0$433.5K
    Erik RooklidgeUTPediatric Dentistry$0$403.1K

    Nearby Providers

    Other providers in the same ZIP code as Adam Bushell, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services IncUTHome Infusion Therapy Pharmacy$0$38.1M
    Ihc Health Services IncUTDurable Medical Equipment & Medical Supplies$0$26.9M
    Parenting PossibilitiesUTBehavior Analyst$0$12.5M
    Ihc Health Services IncUTHome Health Agency$0$9.6M
    Ihc Health Services IncUTCommunity Based Hospice Care Agency$0$6.5M
    Roselene DalanheseUTClinical Social Worker$0$3M
    Physician Group Of Utah IncUTSpecialist$0$2.8M
    See Healthcare, LLCUTCommunity Based Hospice Care Agency$0$2.1M
    Prime Labs LLCUTClinical Medical Laboratory$1.7M$385.3K
    City Of South JordanUTLand Ambulance$258K$1.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Utah Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Adam Bushell — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah