Hallie, Jon

Hallie, Jon was paid $6K by Medicaid between Feb 2018 and Feb 2023, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 48% of everything it billed.

33Billing provider infoHALLIE, JON
ROSEAU, MN 56751

33aNPI1063892313assigned 06/02/2015

33bProvider typeDentist

28Total paid$6K

24GClaims378

24DCodes billed4

24AFirst – last monthFeb 2018 – Feb 2023

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#113 of 192

Median peer was paid$9K

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
2018	94	$0.00
2019	65	$1K
2020	77	$1K
2021	64	$1K
2022	37	$1K
2023	41	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	48%	176	159	$3K
D9410		42%	142	126	$2K
D1110	Prophylaxis - adult	9.3%	12	12	$543.72
D9985		0%	48	42	$0.00

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.