Dental
Son, Jake
Son, Jake was paid $22K by Medicaid between Nov 2019 and Sep 2020, across 11 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 15% of everything it billed.
33Billing provider infoSON, JAKE
ARTESIA, CA 90701
ARTESIA, CA 90701
33aNPI1235785361assigned 08/14/2019
33bProvider typeDentist
28Total paid$22K
24GClaims2,150
24DCodes billed11
24AFirst – last monthNov 2019 – Sep 2020
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,738 of 2,314
Median peer was paid$185K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 541 | $7K | |
| 2020 | 1,609 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 15% | 218 | 200 | $3K |
| D1110 | Prophylaxis - adult | 12% | 113 | 107 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 149 | 133 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 366 | 338 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 141 | 127 | $2K |
| D1206 | Topical application of fluoride varnish | 11% | 211 | 193 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 163 | 150 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.3% | 370 | 311 | $2K |
| D0140 | Limited oral evaluation - problem focused | 4.5% | 57 | 55 | $980.39 |
| D0272 | Bitewings - two radiographic images | 3.4% | 67 | 60 | $749.06 |
| D1999 | 0% | 295 | 260 | $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.