Dental
Lesan, Jon
Lesan, Jon was paid $189K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 25% of everything it billed.
33Billing provider infoLESAN, JON
JACKSONVILLE, NC 28540
JACKSONVILLE, NC 28540
33aNPI1144398348assigned 12/04/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$189K
24GClaims8,425
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#339 of 756
Median peer was paid$121K
This provider vs. median1.6×
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 | 1,123 | $32K | |
| 2019 | 1,115 | $25K | |
| 2020 | 1,017 | $18K | |
| 2021 | 1,079 | $24K | |
| 2022 | 1,313 | $27K | |
| 2023 | 1,232 | $27K | |
| 2024incomplete | 1,546 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 1,971 | 1,897 | $48K |
| D1110 | Prophylaxis - adult | 19% | 1,010 | 976 | $36K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 901 | 867 | $23K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 1,441 | 1,391 | $23K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 1,410 | 1,328 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 986 | 933 | $12K |
| D0274 | Bitewings - four radiographic images | 3.6% | 234 | 233 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.4% | 52 | 25 | $6K |
| D0330 | Panoramic radiographic image | 2.7% | 109 | 107 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 58 | 29 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 104 | 93 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | 12 | $442.22 |
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.