Fait, Jaclyn

Fait, Jaclyn was paid $112K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.

33Billing provider infoFAIT, JACLYN
BATAVIA, OH 45103

33aNPI1124137419assigned 08/30/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$112K

24GClaims2,824

24DCodes billed14

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#304 of 870

Median peer was paid$40K

This provider vs. median2.8×

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
2018	211	$4K
2019	57	$734.96
2024incomplete	2,556	$107K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	17%	538	523	$19K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	16%	567	551	$18K
D2391	Resin-based composite - one surface, posterior, primary or permanent	14%	183	116	$15K
D1206	Topical application of fluoride varnish	13%	487	476	$14K
D1110	Prophylaxis - adult	8.5%	147	143	$10K
D0210	Intraoral - complete series of radiographic images	6.0%	57	56	$7K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.9%	53	36	$5K
D1351	Sealant - per tooth	4.4%	115	50	$5K
D0274	Bitewings - four radiographic images	3.9%	112	109	$4K
D1208	Topical application of fluoride, excluding varnish	3.9%	205	193	$4K
D1354		3.6%	138	48	$4K
D0272	Bitewings - two radiographic images	2.9%	171	165	$3K

2 more codes

D0150	Comprehensive oral evaluation - new or established patient	1.7%	38	$2K
D0140	Limited oral evaluation - problem focused	<1%	13	$560.95

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.