Dental
Jonathan Oudin, DDS, LLC
Jonathan Oudin, DDS, LLC was paid $46K by Medicaid between Nov 2022 and Dec 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoJONATHAN OUDIN, DDS, LLC
WASILLA, AK 99654
WASILLA, AK 99654
33aNPI1265167522assigned 07/20/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$46K
24GClaims885
24DCodes billed5
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Alaska
Rank by total paid#46 of 80
Median peer was paid$63K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 16 | $667.41 | |
| 2023 | 360 | $20K | |
| 2024incomplete | 509 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 210 | 198 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 257 | 241 | $11K |
| D0274 | Bitewings - four radiographic images | 19% | 162 | 152 | $9K |
| D1206 | Topical application of fluoride varnish | 12% | 209 | 195 | $5K |
| D0330 | Panoramic radiographic image | 9.3% | 47 | 46 | $4K |
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 officialOUDIN, JONATHAN (OWNER)