Dental
Paul L Jane DDS, David a Hedstrom DDS, Jasper Ainslie DDS, PA
Paul L Jane DDS, David a Hedstrom DDS, Jasper Ainslie DDS, PA was paid $51K by Medicaid between Jan 2018 and Jun 2019, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoPAUL L JANE DDS, DAVID A HEDSTROM DDS, JASPER AINSLIE DDS, PA
PETERBOROUGH, NH 03458
PETERBOROUGH, NH 03458
33aNPI1033121090assigned 08/11/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$51K
24GClaims1,419
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other General Practice Dentistry providers in New Hampshire
Rank by total paid#24 of 89
Median peer was paid$11K
This provider vs. median4.8×
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 | 1,063 | $38K | |
| 2019 | 356 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 311 | 309 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 396 | 391 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 363 | 363 | $11K |
| D0274 | Bitewings - four radiographic images | 9.7% | 158 | 158 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 3.8% | 108 | 108 | $2K |
| D1351 | Sealant - per tooth | 3.8% | 58 | 13 | $2K |
| D0272 | Bitewings - two radiographic images | 1.3% | 25 | 25 | $650.00 |
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.
From NPPES
Who's on the registration
Authorized officialJANE, PAUL (PRES)