Dental
Pathiyil, Jasmin
Pathiyil, Jasmin was paid $275K by Medicaid between Apr 2019 and Oct 2020, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoPATHIYIL, JASMIN
LIVINGSTON, TX 77351
LIVINGSTON, TX 77351
33aNPI1063827632assigned 06/23/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$275K
24GClaims10,182
24DCodes billed18
24AFirst – last monthApr 2019 – Oct 2020
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#713 of 2,774
Median peer was paid$43K
This provider vs. median6.4×
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 | |
|---|---|---|---|
| 2019 | 3,673 | $119K | |
| 2020 | 6,509 | $155K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 974 | 864 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 590 | 362 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | 9.3% | 511 | 248 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.1% | 1,133 | 1,060 | $22K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 804 | 684 | $21K |
| D1110 | Prophylaxis - adult | 6.8% | 506 | 465 | $19K |
| D1351 | Sealant - per tooth | 6.8% | 338 | 155 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 6.6% | 759 | 659 | $18K |
| D4341 | 6.5% | 117 | 52 | $18K | |
| D0210 | Intraoral - complete series of radiographic images | 5.8% | 623 | 588 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 345 | 230 | $11K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.5% | 182 | 128 | $10K |
6 more codes
| D0274 | Bitewings - four radiographic images | 3.0% | 563 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 2.2% | 1,251 | $6K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 375 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 916 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 163 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 32 | $832.00 |
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.