Clinic
Jamboree Dentistry IV PLLC
Jamboree Dentistry IV PLLC was paid $1.81M by Medicaid between Oct 2020 and Jun 2022, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 30% of everything it billed.
33Billing provider infoJAMBOREE DENTISTRY IV PLLC
HOUSTON, TX 77073
HOUSTON, TX 77073
33aNPI1114413424assigned 07/10/2018
33bProvider typeDental Clinic/Center
28Total paid$1.81M
24GClaims52,639
24DCodes billed25
24AFirst – last monthOct 2020 – Jun 2022
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#21 of 255
Median peer was paid$110K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2020 | 3,512 | $124K | |
| 2021 | 36,204 | $1.27M | |
| 2022 | 12,923 | $412K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 30% | 3,810 | 775 | $540K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 1,450 | 1,421 | $196K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 10% | 2,333 | 624 | $187K |
| D1351 | Sealant - per tooth | 7.9% | 5,498 | 1,195 | $142K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.4% | 3,365 | 3,305 | $116K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 2,799 | 2,745 | $76K |
| D0272 | Bitewings - two radiographic images | 4.0% | 3,446 | 3,324 | $73K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 6,611 | 4,934 | $67K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 2,029 | 1,979 | $66K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 5,758 | 5,592 | $65K |
| D9248 | 3.5% | 569 | 561 | $63K | |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 3,775 | 3,706 | $53K |
13 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.3% | 449 | $42K |
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 546 | $32K |
| D1110 | Prophylaxis - adult | 1.4% | 483 | $26K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 887 | $22K |
| D0274 | Bitewings - four radiographic images | <1% | 418 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 147 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 489 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 307 | $4K |
| D2931 | <1% | 14 | $2K | |
| D2950 | <1% | 32 | $1K | |
| D0160 | <1% | 33 | $463.45 | |
| D0270 | <1% | 113 | $435.12 | |
| D0603 | 0% | 7,278 | $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.
From NPPES
Who's on the registration
Authorized officialSPIGER, JAMES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Jamboree Dentistry PLLC | Houston, TX | $4.89M |
| Jamboree Dentistry III PLLC | Houston, TX | $2.06M |
| Jamboree Dentistry Vi PLLC | Houston, TX | $901K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.