Dental
Jamison Pediatric Dentistry PLLC
Jamison Pediatric Dentistry PLLC was paid $1.44M by Medicaid between Nov 2020 and Oct 2023, across 20 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 34% of everything it billed.
33Billing provider infoJAMISON PEDIATRIC DENTISTRY PLLC
FORT WORTH, TX 76109
FORT WORTH, TX 76109
33aNPI1194104505assigned 05/19/2015
33bProvider typePediatric Dentist
28Total paid$1.44M
24GClaims46,984
24DCodes billed20
24AFirst – last monthNov 2020 – Oct 2023
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#150 of 693
Median peer was paid$252K
This provider vs. median5.7×
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 | |
|---|---|---|---|
| 2020 | 2,240 | $85K | |
| 2021 | 17,554 | $593K | |
| 2022 | 16,471 | $477K | |
| 2023 | 10,719 | $290K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 34% | 3,763 | 686 | $497K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 4,976 | 4,826 | $170K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 6,301 | 6,121 | $169K |
| D1208 | Topical application of fluoride, excluding varnish | 6.0% | 6,319 | 6,124 | $87K |
| D0272 | Bitewings - two radiographic images | 5.3% | 3,533 | 3,405 | $77K |
| D1110 | Prophylaxis - adult | 4.5% | 1,260 | 1,237 | $65K |
| D1351 | Sealant - per tooth | 4.3% | 2,423 | 750 | $63K |
| D0145 | Oral evaluation for a patient under three years of age | 4.2% | 444 | 435 | $61K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.3% | 1,878 | 1,696 | $48K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.2% | 526 | 311 | $46K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 2,611 | 2,477 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 891 | 839 | $28K |
8 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 519 | $26K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 2,181 | $22K |
| D0274 | Bitewings - four radiographic images | 1.4% | 606 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 266 | $19K |
| D9420 | <1% | 274 | $9K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 79 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 32 | $308.70 |
| D0603 | 0% | 8,102 | $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.
From NPPES
Who's on the registration
Authorized officialJAMISON, ANDREW (DOCTOR/OWNER)