Jones, Phillip

Jones, Phillip was paid $1.08M by Medicaid between Jan 2018 and Feb 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoJONES, PHILLIP
VILLA GROVE, IL 61956

33aNPI1255322723assigned 11/02/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$1.08M

24GClaims30,648

24DCodes billed15

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other General Practice Dentistry providers in Illinois

Rank by total paid#114 of 1,017

Median peer was paid$123K

This provider vs. median8.8×

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	2,903	$86K
2019	3,941	$127K
2020	4,505	$163K
2021	6,363	$246K
2022	6,352	$231K
2023	6,260	$214K
2024incomplete	324	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	30%	7,908	7,606	$322K
D1351	Sealant - per tooth	22%	3,663	1,712	$240K
D1206	Topical application of fluoride varnish	18%	7,435	7,184	$192K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	6,810	6,581	$189K
D0210	Intraoral - complete series of radiographic images	3.6%	1,224	1,143	$39K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.3%	514	320	$36K
D0274	Bitewings - four radiographic images	2.2%	1,291	1,260	$23K
D7140	Extraction, erupted tooth or exposed root	<1%	176	103	$10K
D0272	Bitewings - two radiographic images	<1%	936	907	$9K
D0330	Panoramic radiographic image	<1%	254	246	$6K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	52	37	$4K
D0140	Limited oral evaluation - problem focused	<1%	204	198	$3K

3 more codes

D2394		<1%	13	$1K
D1208	Topical application of fluoride, excluding varnish	<1%	35	$910.00
D0220	Intraoral - periapical first radiographic image	<1%	133	$811.20

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.