Dental
Mitchem, Jesse
Mitchem, Jesse was paid $96K by Medicaid between Sep 2019 and Feb 2021, across 6 billing codes. Its largest line is D8080, Comprehensive orthodontic treatment of the adolescent dentition — 72% of everything it billed.
33Billing provider infoMITCHEM, JESSE
HOUSTON, TX 77015
HOUSTON, TX 77015
33aNPI1093165920assigned 06/22/2016
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$96K
24GClaims268
24DCodes billed6
24AFirst – last monthSep 2019 – Feb 2021
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in Texas
Rank by total paid#36 of 87
Median peer was paid$54K
This provider vs. median1.8×
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 | 15 | $41K | |
| 2020 | 201 | $53K | |
| 2021 | 52 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 72% | 33 | 27 | $70K |
| D8020 | 20% | 15 | 14 | $20K | |
| D8660 | 2.5% | 55 | 55 | $2K | |
| D0340 | 2.3% | 55 | 55 | $2K | |
| D0330 | Panoramic radiographic image | 1.8% | 55 | 55 | $2K |
| D0350 | <1% | 55 | 55 | $963.50 |
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.