Dental
Jackson, Dana
Jackson, Dana was paid $351K by Medicaid between Jan 2018 and Aug 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.
33Billing provider infoJACKSON, DANA
SHREVEPORT, LA 71129
SHREVEPORT, LA 71129
33aNPI1225053531assigned 07/13/2006
33bProvider typeDentist
28Total paid$351K
24GClaims9,827
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Dentist providers in Louisiana
Rank by total paid#80 of 251
Median peer was paid$103K
This provider vs. median3.4×
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 | 2,578 | $102K | |
| 2019 | 2,609 | $99K | |
| 2020 | 1,679 | $65K | |
| 2021 | 1,887 | $56K | |
| 2022 | 869 | $23K | |
| 2023 | 190 | $5K | |
| 2024incomplete | 15 | $442.56 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 29% | 2,411 | 1,992 | $102K |
| D7140 | Extraction, erupted tooth or exposed root | 24% | 1,438 | 729 | $84K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,800 | 1,546 | $43K |
| D0210 | Intraoral - complete series of radiographic images | 9.4% | 626 | 557 | $33K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.6% | 709 | 620 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.7% | 183 | 143 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 1,228 | 990 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 412 | 412 | $8K |
| D0272 | Bitewings - two radiographic images | 1.8% | 313 | 304 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.7% | 181 | 180 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 340 | 274 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 111 | 74 | $3K |
4 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 18 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17 | $852.72 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 24 | $135.86 |
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.