Allen, Jordan

Allen, Jordan was paid $26K by Medicaid between Apr 2022 and Dec 2022, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 16% of everything it billed.

33Billing provider infoALLEN, JORDAN
MARIETTA, OH 45750

33aNPI1053800904assigned 05/07/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$26K

24GClaims1,107

24DCodes billed14

24AFirst – last monthApr 2022 – Dec 2022

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#505 of 870

Median peer was paid$40K

This provider vs. median0.6×

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	1,107	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	237	236	$4K
D1110	Prophylaxis - adult	14%	102	102	$4K
D7140	Extraction, erupted tooth or exposed root	12%	52	26	$3K
D0140	Limited oral evaluation - problem focused	9.7%	110	109	$3K
D1120	Dental cleaning, childProphylaxis - child	8.9%	114	114	$2K
D0210	Intraoral - complete series of radiographic images	8.4%	49	36	$2K
D1208	Topical application of fluoride, excluding varnish	7.8%	132	132	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.5%	33	25	$2K
D0150	Comprehensive oral evaluation - new or established patient	6.1%	58	58	$2K
D0274	Bitewings - four radiographic images	4.5%	77	77	$1K
D0330	Panoramic radiographic image	3.4%	18	18	$875.52
D0220	Intraoral - periapical first radiographic image	1.8%	99	92	$467.25

2 more codes

D1206	Topical application of fluoride varnish	<1%	14	$204.75
D0272	Bitewings - two radiographic images	<1%	12	$115.50

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.