Gifford, Jonathan

Gifford, Jonathan was paid $331K by Medicaid between Jan 2018 and Feb 2019, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoGIFFORD, JONATHAN
MOUNT PROSPECT, IL 60056

33aNPI1003187956assigned 01/24/2012

33bProvider typeDentist

28Total paid$331K

24GClaims12,134

24DCodes billed14

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#386 of 1,099

Median peer was paid$160K

This provider vs. median2.1×

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
2018	10,337	$285K
2019	1,797	$46K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	30%	2,522	2,395	$99K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	2,726	2,580	$71K
D1208	Topical application of fluoride, excluding varnish	19%	2,518	2,391	$62K
D1351	Sealant - per tooth	11%	855	305	$37K
D0274	Bitewings - four radiographic images	4.8%	972	911	$16K
D1110	Prophylaxis - adult	3.6%	377	348	$12K
D0150	Comprehensive oral evaluation - new or established patient	2.0%	329	314	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.8%	100	58	$6K
D2150	Silver amalgam - two surfaces, primary or permanent	1.4%	99	68	$5K
D0140	Limited oral evaluation - problem focused	1.2%	269	249	$4K
D0272	Bitewings - two radiographic images	1.1%	407	379	$4K
D7140	Extraction, erupted tooth or exposed root	1.0%	81	42	$3K

2 more codes

D0220	Intraoral - periapical first radiographic image	<1%	573	$3K
D0230	Intraoral - periapical each additional radiographic image	<1%	306	$2K

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.