Dental
White, Jeffery
White, Jeffery was paid $55K by Medicaid between Jan 2018 and Oct 2018, across 5 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 31% of everything it billed.
33Billing provider infoWHITE, JEFFERY
AURORA, CO 80012
AURORA, CO 80012
33aNPI1245238377assigned 07/12/2005
33bProvider typeOral and Maxillofacial Pathology Dentist
28Total paid$55K
24GClaims589
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2018
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 | 589 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 31% | 86 | 83 | $17K |
| D0160 | 28% | 222 | 221 | $15K | |
| D0330 | Panoramic radiographic image | 18% | 187 | 186 | $10K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13% | 46 | 28 | $7K |
| D9222 | 9.5% | 48 | 48 | $5K |
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.