Clinic
Jamboree Dentistry III PLLC
Jamboree Dentistry III PLLC was paid $2.06M by Medicaid between Jul 2018 and Jun 2022, across 32 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 22% of everything it billed.
33Billing provider infoJAMBOREE DENTISTRY III PLLC
HOUSTON, TX 77070
HOUSTON, TX 77070
33aNPI1225538788assigned 02/20/2018
33bProvider typeDental Clinic/Center
28Total paid$2.06M
24GClaims59,414
24DCodes billed32
24AFirst – last monthJul 2018 – Jun 2022
Compared with peers
Next to other Dental Clinic/Center providers in Texas
Rank by total paid#17 of 255
Median peer was paid$110K
This provider vs. median19×
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 | 69 | $897.18 | |
| 2020 | 4,164 | $142K | |
| 2021 | 38,328 | $1.30M | |
| 2022 | 16,853 | $619K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 22% | 3,242 | 799 | $458K |
| D0145 | Oral evaluation for a patient under three years of age | 10.0% | 1,549 | 1,538 | $206K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 8.4% | 2,196 | 644 | $174K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.8% | 1,734 | 960 | $161K |
| D1351 | Sealant - per tooth | 6.9% | 5,715 | 1,488 | $143K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.7% | 1,926 | 1,144 | $139K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.9% | 3,577 | 3,508 | $122K |
| D0272 | Bitewings - two radiographic images | 4.4% | 4,144 | 4,048 | $90K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.3% | 3,228 | 3,168 | $88K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 6,117 | 5,942 | $70K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 2,007 | 1,952 | $63K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 6,082 | 5,296 | $62K |
20 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 4,033 | $56K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.9% | 1,606 | $40K |
| D9248 | 1.7% | 321 | $34K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.5% | 553 | $32K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.5% | 56 | $32K |
| D1110 | Prophylaxis - adult | 1.3% | 526 | $27K |
| D0140 | Limited oral evaluation - problem focused | <1% | 742 | $13K |
| D0274 | Bitewings - four radiographic images | <1% | 402 | $12K |
| D2934 | <1% | 79 | $12K | |
| D1510 | <1% | 55 | $8K | |
| D0330 | Panoramic radiographic image | <1% | 176 | $7K |
| D2330 | <1% | 58 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 213 | $2K |
| D0270 | <1% | 481 | $2K | |
| D0160 | <1% | 163 | $2K | |
| D0170 | <1% | 139 | $2K | |
| D2950 | <1% | 32 | $1K | |
| D7111 | <1% | 33 | $344.10 | |
| D0460 | <1% | 13 | $147.00 | |
| D0603 | 0% | 8,216 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialSPIGER, JAMES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Jamboree Dentistry PLLC | Houston, TX | $4.89M |
| Jamboree Dentistry IV PLLC | Houston, TX | $1.81M |
| Jamboree Dentistry Vi PLLC | Houston, TX | $901K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.