Dental
Ames, Jonathan
Ames, Jonathan was paid $21K by Medicaid between Nov 2023 and Sep 2024, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoAMES, JONATHAN
BRENHAM, TX 77833
BRENHAM, TX 77833
33aNPI1003104977assigned 07/13/2011
33bProvider typePediatric Dentist
28Total paid$21K
24GClaims1,631
24DCodes billed12
24AFirst – last monthNov 2023 – Sep 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#538 of 693
Median peer was paid$252K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 427 | $6K | |
| 2024incomplete | 1,204 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 167 | 147 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 21% | 172 | 148 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 216 | 188 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 11% | 247 | 73 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 8.7% | 14 | 13 | $2K |
| D0240 | 7.1% | 220 | 92 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | 5.7% | 129 | 104 | $1K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 47 | 41 | $1K |
| D0330 | Panoramic radiographic image | 3.3% | 17 | 15 | $696.61 |
| D0140 | Limited oral evaluation - problem focused | 2.0% | 25 | 24 | $413.16 |
| D0272 | Bitewings - two radiographic images | 1.7% | 17 | 15 | $350.70 |
| D0603 | 0% | 360 | 328 | $0.00 |
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.