JACKSON, DAINTY
NPI: 1194765834
· WALDORF, MD 20603
· Family Medicine Physician
· NPI assigned 06/08/2006
$358K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
876 |
$77K |
| 2021 |
912 |
$80K |
| 2022 |
966 |
$82K |
| 2023 |
832 |
$61K |
| 2024 |
701 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,685 |
2,556 |
$343K |
| 99385 |
|
62 |
32 |
$6K |
| 92551 |
|
395 |
373 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 93000 |
|
119 |
113 |
$2K |