JENNIFER C. JACKSON, DMD, MPH, P.A. · NPI 1063601995

NPI: 1063601995 · ASHEVILLE, NC 28803 · Dental Clinic/Center · NPI assigned 10/16/2007

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official JACKSON, JENNIFER controls 20+ related entities in our dataset. Read more

$1K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2018-03

First Month

2020-12

Last Month

Provider Details

Authorized Official	JACKSON, JENNIFER (PEDIATRIC DENTIST/OWNER)
NPI Enumeration Date	10/16/2007

Related Entities

Provider	City	State	Total Paid
LAS CRUCES PHYSICIAN SERVICES LLC	LAS CRUCES	NM	$62.87M
ROSWELL CLINIC CORP	ROSWELL	NM	$14.65M
PECOS VALLEY OF NEW MEXICO, LLC	CARLSBAD	NM	$6.43M
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC	CORSICANA	TX	$4.25M
FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC	FLOWOOD	MS	$2.83M
STATESVILLE HMA MEDICAL GROUP, LLC	STATESVILLE	NC	$2.68M
HEARTLAND COUNSELING SERVICES, INC.	SOUTH SIOUX CITY	NE	$2.31M
MOORESVILLE PPM LLC	MOORESVILLE	NC	$1.35M
SCRANTON QUINCY AMBULANCE LLC	SCRANTON	PA	$1.35M
BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC	SPRING HILL	FL	$1.14M
INTERMOUNTAIN MEDICAL GROUP, INC	KINGSTON	PA	$1.09M
ROSWELL HOSPITAL CORPORATION	ROSWELL	NM	$714K
WOODWARD CLINIC COMPANY, LLC	WOODWARD	OK	$598K
BILOXI HMA PHYSICIAN MANAGEMENT LLC	BILOXI	MS	$585K
SOUTH ARKANSAS PHYSICIAN SERVICES LLC	EL DORADO	AR	$495K
KEY WEST HMA PHYSICIAN MANAGEMENT, LLC	CUDJOE KEY	FL	$406K
MOORESVILLE PPM LLC	MOORESVILLE	NC	$385K
HEARTLAND COUNSELING SERVICES, INC.	ONEILL	NE	$295K
NORTHWEST CARDIOLOGY LLC	TUCSON	AZ	$265K
GREENBRIER VALLEY EMERGENCY PHYSICIANS LLC	RONCEVERTE	WV	$224K

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	56	$676.47
2020	41	$628.14

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1208	Topical application of fluoride, excluding varnish	69	64	$800.92
D0120	Periodic oral evaluation - established patient	28	25	$503.69