Jackson-Breeden, Dawn

Jackson-Breeden, Dawn was paid $15K by Medicaid between Jan 2018 and Aug 2019, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.

33Billing provider infoJACKSON-BREEDEN, DAWN
BENTON, IL 62812

33aNPI1245307024assigned 11/29/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$15K

24GClaims645

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#784 of 1,017

Median peer was paid$123K

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
2018	441	$10K
2019	204	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	35%	148	128	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	139	128	$3K
D1206	Topical application of fluoride varnish	22%	147	127	$3K
D1351	Sealant - per tooth	20%	104	27	$3K
D0140	Limited oral evaluation - problem focused	<1%	14	14	$97.20
D0601		<1%	77	69	$0.10
D0602		0%	16	13	$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.