Dental
DR. Jaclyn M. Jensen DDS, PC
DR. Jaclyn M. Jensen DDS, PC was paid $26K by Medicaid between Jan 2018 and Aug 2022, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 54% of everything it billed.
33Billing provider infoDR. JACLYN M. JENSEN DDS, PC
CROOKSTON, MN 56716
CROOKSTON, MN 56716
33aNPI1063661726assigned 09/17/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$26K
24GClaims1,196
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#169 of 368
Median peer was paid$19K
This provider vs. median1.4×
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 | 239 | $0.00 | |
| 2019 | 255 | $6K | |
| 2020 | 219 | $5K | |
| 2021 | 311 | $8K | |
| 2022 | 172 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 54% | 666 | 665 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 16% | 247 | 246 | $4K |
| D1110 | Prophylaxis - adult | 16% | 110 | 110 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 173 | 173 | $3K |
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 officialJENSEN, JACLYN (OWNER)