JDM Dental, PLC

JDM Dental, PLC was paid $45K by Medicaid between Jan 2018 and Mar 2020, across 9 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 26% of everything it billed.

33Billing provider infoJDM DENTAL, PLC
CHESTER, VA 23831

33aNPI1154605384assigned 10/06/2011

33bProvider typeDentist

28Total paid$45K

24GClaims1,799

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Dentist providers in Virginia

Rank by total paid#190 of 417

Median peer was paid$34K

This provider vs. median1.3×

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	734	$18K
2019	991	$25K
2020	74	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	26%	578	578	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	537	525	$10K
D1120	Dental cleaning, childProphylaxis - child	19%	259	259	$9K
D1110	Prophylaxis - adult	18%	191	179	$8K
D0272	Bitewings - two radiographic images	3.0%	67	67	$1K
D9630		3.0%	68	67	$1K
D0210	Intraoral - complete series of radiographic images	2.8%	30	27	$1K
D0150	Comprehensive oral evaluation - new or established patient	2.7%	42	39	$1K
D0274	Bitewings - four radiographic images	1.4%	27	24	$634.80

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 officialMAURER, JEFFREY (DENTIST)