Jackson, Brett

Jackson, Brett was paid $34K by Medicaid between Jan 2018 and Nov 2022, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 73% of everything it billed.

33Billing provider infoJACKSON, BRETT
LAYTON, UT 84041

33aNPI1184835787assigned 05/24/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$34K

24GClaims1,102

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other General Practice Dentistry providers in Utah

Rank by total paid#94 of 225

Median peer was paid$21K

This provider vs. median1.6×

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	452	$12K
2019	345	$10K
2020	91	$4K
2021	166	$6K
2022	48	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	73%	272	253	$24K
D0150	Comprehensive oral evaluation - new or established patient	22%	91	79	$7K
D2150	Silver amalgam - two surfaces, primary or permanent	2.6%	20	13	$880.06
D0330	Panoramic radiographic image	2.1%	15	12	$705.78
D1206	Topical application of fluoride varnish	<1%	31	26	$140.64
D0274	Bitewings - four radiographic images	<1%	477	421	$66.70
D1120	Dental cleaning, childProphylaxis - child	<1%	102	94	$35.00
D1110	Prophylaxis - adult	0%	94	87	$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.