Dental
Jones, Jessie
Jones, Jessie was paid $67K by Medicaid between Aug 2023 and Aug 2024, across 11 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 45% of everything it billed.
33Billing provider infoJONES, JESSIE
GRAFTON, WI 53024
GRAFTON, WI 53024
33aNPI1184296527assigned 07/14/2021
33bProvider typeDentist
28Total paid$67K
24GClaims1,244
24DCodes billed11
24AFirst – last monthAug 2023 – Aug 2024
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#72 of 185
Median peer was paid$28K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2023 | 769 | $48K | |
| 2024incomplete | 475 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 45% | 135 | 25 | $30K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 159 | 147 | $10K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 258 | 238 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 191 | 175 | $7K |
| D1206 | Topical application of fluoride varnish | 5.1% | 234 | 214 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.7% | 120 | 110 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 27 | 13 | $2K |
| D0272 | Bitewings - two radiographic images | 1.4% | 58 | 54 | $968.36 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 14 | 14 | $791.84 |
| D9222 | 0% | 16 | 16 | $0.00 | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 0% | 32 | 16 | $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.