Dental
Jackson Pediatric Dentistry LLC
Jackson Pediatric Dentistry LLC was paid $32K by Medicaid between Jan 2018 and Sep 2020, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 35% of everything it billed.
33Billing provider infoJACKSON PEDIATRIC DENTISTRY LLC
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1144679507assigned 06/07/2016
33bProvider typePediatric Dentist
28Total paid$32K
24GClaims1,476
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Pediatric Dentist providers in South Carolina
Rank by total paid#77 of 86
Median peer was paid$1.24M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2018 | 899 | $20K | |
| 2019 | 426 | $9K | |
| 2020 | 151 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 35% | 516 | 516 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 264 | 264 | $9K |
| D1206 | Topical application of fluoride varnish | 22% | 453 | 453 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.5% | 88 | 83 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 6.0% | 155 | 153 | $2K |
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 officialJACKSON, STEPHANIE (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Aaa Care LLC | New Orleans, LA | $14.87M |
| A Better Day Home Care Services, INC. | Charlotte, NC | $2.67M |
| Everycare Express Clinic | Canton, MS | $1.39M |
| Aaa Care LLC | New Orleans, LA | $1.33M |
| Aaa Care LLC | New Orleans, LA | $243K |
| A Sunny Day Home Healthcare INC | Charlotte, NC | $111K |
| Clark and Jackson PD, LLC | Fort Mill, SC | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.