Dental
Koosmann, Jerelyn
Koosmann, Jerelyn was paid $8K by Medicaid between Oct 2022 and Nov 2023, across 4 billing codes. Its largest line is D0191, — 37% of everything it billed.
33Billing provider infoKOOSMANN, JERELYN
ASHLAND, WI 54806
ASHLAND, WI 54806
33aNPI1023457918assigned 06/24/2013
33bProvider typeDental Hygienist
28Total paid$8K
24GClaims594
24DCodes billed4
24AFirst – last monthOct 2022 – Nov 2023
Compared with peers
Next to other Dental Hygienist providers in Wisconsin
Rank by total paid#100 of 141
Median peer was paid$28K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2022 | 39 | $595.60 | |
| 2023 | 555 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0191 | 37% | 205 | 204 | $3K | |
| D1206 | Topical application of fluoride varnish | 35% | 163 | 162 | $3K |
| D1351 | Sealant - per tooth | 29% | 102 | 30 | $2K |
| D1353 | 0% | 124 | 26 | $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.