Dental
Jackson Dental Group, LLC
Jackson Dental Group, LLC was paid $27K by Medicaid between Jul 2024 and Dec 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoJACKSON DENTAL GROUP, LLC
WEST CHESTER, OH 45069
WEST CHESTER, OH 45069
33aNPI1184347452assigned 09/22/2022
33bProvider typePediatric Dentist
28Total paid$27K
24GClaims720
24DCodes billed7
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Ohio
Rank by total paid#102 of 144
Median peer was paid$140K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 720 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 184 | 183 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 24% | 128 | 127 | $6K |
| D1206 | Topical application of fluoride varnish | 21% | 192 | 191 | $6K |
| D0140 | Limited oral evaluation - problem focused | 13% | 83 | 82 | $4K |
| D0272 | Bitewings - two radiographic images | 7.4% | 102 | 101 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 16 | 12 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.9% | 15 | 15 | $503.40 |
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, KYLE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Centerille Pediatric Dentistry, Kyle R Jackson, DDS, INC | Centerville, OH | $4.73M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.