Jergensen Dental PC

Jergensen Dental PC was paid $106K by Medicaid between Jan 2018 and Mar 2020, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.

33Billing provider infoJERGENSEN DENTAL PC
WATSONVILLE, CA 95076

33aNPI1225458714assigned 04/23/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$106K

24GClaims6,575

24DCodes billed10

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,528 of 2,668

Median peer was paid$173K

This provider vs. median0.6×

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	3,393	$51K
2019	2,623	$45K
2020	559	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	932	932	$35K
D1120	Dental cleaning, childProphylaxis - child	29%	1,023	1,022	$30K
D0274	Bitewings - four radiographic images	13%	669	668	$13K
D0230	Intraoral - periapical each additional radiographic image	12%	3,243	1,076	$13K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.5%	71	50	$5K
D1206	Topical application of fluoride varnish	3.0%	248	248	$3K
D0272	Bitewings - two radiographic images	2.8%	270	270	$3K
D0150	Comprehensive oral evaluation - new or established patient	1.5%	31	30	$2K
D9430		<1%	32	31	$1K
D0350		<1%	56	54	$729.24

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.

From NPPES

Who's on the registration

Authorized officialJERGENSEN, RYAN (DDS)