Castillo, Jordan

Castillo, Jordan was paid $98K by Medicaid between Aug 2018 and Feb 2020, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.

33Billing provider infoCASTILLO, JORDAN
OMAHA, NE 68114

33aNPI1104208172assigned 06/25/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$98K

24GClaims4,107

24DCodes billed14

24AFirst – last monthAug 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Nebraska

Rank by total paid#52 of 201

Median peer was paid$21K

This provider vs. median4.6×

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	1,747	$39K
2019	2,182	$54K
2020	178	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	17%	273	182	$17K
D0150	Comprehensive oral evaluation - new or established patient	12%	303	291	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	477	456	$11K
D1120	Dental cleaning, childProphylaxis - child	11%	509	490	$10K
D1351	Sealant - per tooth	10%	563	152	$10K
D1206	Topical application of fluoride varnish	10%	751	726	$10K
D0274	Bitewings - four radiographic images	6.8%	314	306	$7K
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.2%	147	94	$6K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	5.1%	262	216	$5K
D0272	Bitewings - two radiographic images	5.0%	345	324	$5K
D7140	Extraction, erupted tooth or exposed root	2.0%	39	32	$2K
D1110	Prophylaxis - adult	1.5%	51	51	$1K

2 more codes

D0140	Limited oral evaluation - problem focused	<1%	38	$875.80
D0220	Intraoral - periapical first radiographic image	<1%	35	$317.64

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.