Dental
Boc, Jessica
Boc, Jessica was paid $23K by Medicaid between Jan 2018 and Dec 2018, across 8 billing codes. Its largest line is D0330, Panoramic radiographic image — 27% of everything it billed.
33Billing provider infoBOC, JESSICA
SMITHFIELD, NC 27577
SMITHFIELD, NC 27577
33aNPI1225445786assigned 07/16/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$23K
24GClaims1,320
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#523 of 756
Median peer was paid$121K
This provider vs. median0.2×
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 | 1,320 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 27% | 191 | 155 | $6K |
| D0140 | Limited oral evaluation - problem focused | 26% | 208 | 172 | $6K |
| D0274 | Bitewings - four radiographic images | 17% | 185 | 162 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 310 | 257 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.7% | 376 | 225 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.2% | 17 | 16 | $720.00 |
| D1206 | Topical application of fluoride varnish | 2.5% | 20 | 18 | $560.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 13 | 12 | $398.88 |
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.