Dental
Jackman, Donald
Jackman, Donald was paid $35K by Medicaid between Dec 2020 and Aug 2024, across 4 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 100% of everything it billed.
33Billing provider infoJACKMAN, DONALD
ROBSTOWN, TX 78380
ROBSTOWN, TX 78380
33aNPI1124023395assigned 06/15/2005
33bProvider typeDentist
28Total paid$35K
24GClaims652
24DCodes billed4
24AFirst – last monthDec 2020 – Aug 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#836 of 1,678
Median peer was paid$35K
This provider vs. median1.0×
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 | 13 | $199.77 | |
| 2021 | 184 | $7K | |
| 2022 | 284 | $19K | |
| 2023 | 77 | $4K | |
| 2024incomplete | 94 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 100% | 539 | 499 | $35K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 43 | 39 | $51.97 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 44 | 42 | $13.23 |
| D0601 | 0% | 26 | 24 | $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.