Dental
Jackson, Rodney
Jackson, Rodney was paid $378K by Medicaid between Feb 2020 and Nov 2024, across 20 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoJACKSON, RODNEY
LEXINGTON, KY 40509
LEXINGTON, KY 40509
33aNPI1205931599assigned 09/13/2006
33bProvider typePediatric Dentist
28Total paid$378K
24GClaims9,422
24DCodes billed20
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Kentucky
Rank by total paid#74 of 134
Median peer was paid$467K
This provider vs. median0.8×
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 | 870 | $22K | |
| 2024incomplete | 8,552 | $356K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 1,323 | 1,312 | $75K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 20% | 663 | 187 | $74K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.2% | 1,309 | 1,301 | $35K |
| D7140 | Extraction, erupted tooth or exposed root | 8.8% | 414 | 195 | $33K |
| D1206 | Topical application of fluoride varnish | 6.5% | 1,366 | 1,357 | $25K |
| D0330 | Panoramic radiographic image | 6.4% | 351 | 349 | $24K |
| D1351 | Sealant - per tooth | 4.2% | 720 | 213 | $16K |
| D0272 | Bitewings - two radiographic images | 3.7% | 682 | 676 | $14K |
| D1110 | Prophylaxis - adult | 3.6% | 232 | 230 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 243 | 116 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.1% | 172 | 85 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 305 | 302 | $9K |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 540 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.5% | 168 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 125 | $5K |
| D0274 | Bitewings - four radiographic images | 1.4% | 138 | $5K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.3% | 80 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 416 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 153 | $2K |
| D2330 | <1% | 22 | $1K |
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.