Dental
Jackson, Pamela
Jackson, Pamela was paid $409K by Medicaid between Jan 2018 and Mar 2020, across 22 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoJACKSON, PAMELA
SAINT LOUIS, MO 63121
SAINT LOUIS, MO 63121
33aNPI1225147317assigned 08/30/2006
33bProvider typeDentist
28Total paid$409K
24GClaims13,866
24DCodes billed22
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#68 of 284
Median peer was paid$109K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2018 | 11,569 | $368K | |
| 2019 | 1,549 | $28K | |
| 2020 | 748 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 24% | 1,789 | 721 | $98K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 1,235 | 546 | $91K |
| D1351 | Sealant - per tooth | 13% | 2,584 | 813 | $52K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.5% | 1,638 | 1,612 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.7% | 883 | 869 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 1,060 | 1,043 | $23K |
| D0272 | Bitewings - two radiographic images | 4.4% | 1,230 | 1,211 | $18K |
| D1206 | Topical application of fluoride varnish | 3.0% | 950 | 944 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 2.2% | 865 | 843 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.8% | 77 | 58 | $7K |
| D0274 | Bitewings - four radiographic images | 1.7% | 370 | 365 | $7K |
| D2940 | 1.4% | 162 | 100 | $6K |
10 more codes
| D1110 | Prophylaxis - adult | <1% | 144 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 320 | $3K |
| D3120 | <1% | 87 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 235 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 38 | $2K |
| D2332 | <1% | 24 | $2K | |
| D2330 | <1% | 36 | $2K | |
| D2335 | <1% | 18 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 78 | $1K |
| D1353 | <1% | 43 | $475.00 |
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.