Sargeson, Jessica

Sargeson, Jessica was paid $115K by Medicaid between Sep 2019 and Nov 2023, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.

33Billing provider infoSARGESON, JESSICA
BLUE ISLAND, IL 60406

33aNPI1013579226assigned 07/08/2019

33bProvider typeDentist

28Total paid$115K

24GClaims5,414

24DCodes billed20

24AFirst – last monthSep 2019 – Nov 2023

Compared with peers

Next to other Dentist providers in Illinois

Rank by total paid#608 of 1,099

Median peer was paid$160K

This provider vs. median0.7×

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
2019	887	$20K
2020	2,932	$58K
2021	1,061	$19K
2023	534	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	26%	763	750	$30K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	803	783	$22K
D1208	Topical application of fluoride, excluding varnish	13%	622	610	$15K
D1351	Sealant - per tooth	6.1%	105	62	$7K
D0150	Comprehensive oral evaluation - new or established patient	5.8%	325	313	$7K
D0274	Bitewings - four radiographic images	4.9%	381	372	$6K
D1110	Prophylaxis - adult	4.3%	128	124	$5K
D0220	Intraoral - periapical first radiographic image	4.2%	872	829	$5K
D0230	Intraoral - periapical each additional radiographic image	3.2%	800	746	$4K
D1206	Topical application of fluoride varnish	2.7%	115	114	$3K
D4342		2.6%	18	12	$3K
D0210	Intraoral - complete series of radiographic images	2.0%	115	106	$2K

8 more codes

D2392	Resin-based composite - two surfaces, posterior, primary or permanent	1.7%	32	$2K
D0330	Panoramic radiographic image	1.1%	69	$1K
D0272	Bitewings - two radiographic images	<1%	123	$987.00
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	13	$818.55
D7140	Extraction, erupted tooth or exposed root	<1%	17	$704.16
D0140	Limited oral evaluation - problem focused	<1%	28	$453.60
D0601		<1%	52	$15.00
D0602		<1%	33	$9.00

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.