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    OpenPayerNPI Medicare & MedicaidJason Mandelaris
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    Jason Mandelaris — Billing Profile & Reimbursement Data

    NPI 1811144785 · Lindon, UT · Pediatric Dentistry

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    Jason Mandelaris is a pediatric dentistry provider located in Lindon, Utah. This profile covers 0 Medicare and 18 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
    OrganizationJason Mandelaris
    Address275 W 200 N
    CityLindon
    StateUT
    ZIP84042
    TaxonomyPediatric Dentistry
    NPI EnumeratedAugust 22, 2008

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

    Payer SourceTotal Paid
    Medicaid$670.6K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0120Periodic oral evaluation - established patient3,750$100$360.4K
    D2150Amalgam - two surfaces, primary or permanent730$70$50.6K
    D2930N/A570$80$42.8K
    D0220Intraoral - periapical first radiographic image3,870$10$38.7K
    D1120Prophylaxis–child3,830$10$30.6K
    D1351Sealant - per tooth1,060$30$29.7K
    D0150Comprehensive oral evaluation – new or established patient260$100$26.7K
    D3220N/A330$60$19.9K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)270$70$18.1K
    D9420N/A170$90$15.8K

    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.

    Full comparison — all codes billed, vs. Utah median

    18 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0120Periodic oral evaluation - established patient67470460$80$149.8K
    D1351Sealant - per tooth70190620$30$60.7K
    D2930N/A2270280$70$57.7K
    D0140Limited oral evaluation – problem focused150260140$120$55.8K
    D2150Amalgam - two surfaces, primary or permanent66220290$60$45K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)59150170$60$35.9K
    D0220Intraoral - periapical first radiographic image44440470$20$32.8K
    D0150Comprehensive oral evaluation – new or established patient133420110$100$30.8K
    D1120Prophylaxis–child68420440$20$30.7K
    D9420N/A93090$110$30.4K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ut Bcdo Specialty Dental Services, PLLCUTPediatric Dentistry$0$14M
    Terry SorensonUTGeneral Practice Dentistry$0$1.6M
    Stuart SeguraUTPediatric Dentistry$0$1.5M
    Kurt ChristensenUTPediatric Dentistry$0$1M
    Jeffrey WelchUTGeneral Practice Dentistry$0$856.8K
    Darin KnudsonUTDentist$0$777.7K
    Don BorenUTGeneral Practice Dentistry$0$679.4K
    Stuart ThomasUTPediatric Dentistry$0$642.4K
    Creek Capital Vine Street LLCUTDentist$0$573.1K
    Creek Capital East Gate LLCUTPediatric Dentistry$0$570.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Apria Healthcare LLCUTDurable Medical Equipment & Medical Supplies$0$408.2K
    Erick BinghamUTChiropractor$5.9K$0
    Lorraine GalvezUTRegistered Dietitian$960$0

    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 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Jason Mandelaris — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah