Dental
Thomas, Jessica
Thomas, Jessica was paid $166.58 by Medicaid between Oct 2021 and Jan 2022, across 10 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 28% of everything it billed.
33Billing provider infoTHOMAS, JESSICA
RACINE, WI 53406
RACINE, WI 53406
33aNPI1174194211assigned 07/09/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$166.58
24GClaims416
24DCodes billed10
24AFirst – last monthOct 2021 – Jan 2022
Compared with peers
Next to other General Practice Dentistry providers in Wisconsin
Rank by total paid#196 of 208
Median peer was paid$26K
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 | |
|---|---|---|---|
| 2021 | 355 | $110.63 | |
| 2022 | 61 | $55.95 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 28% | 89 | 75 | $46.28 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 24% | 14 | 13 | $40.40 |
| D1110 | Prophylaxis - adult | 16% | 28 | 27 | $26.92 |
| D0220 | Intraoral - periapical first radiographic image | 14% | 126 | 91 | $22.77 |
| D0274 | Bitewings - four radiographic images | 10% | 27 | 27 | $17.07 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.9% | 31 | 30 | $13.14 |
| D0140 | Limited oral evaluation - problem focused | 0% | 38 | 33 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 37 | 16 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 13 | 13 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 13 | 13 | $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.