Dental
Starr, Jake
Starr, Jake was paid $20K by Medicaid between Jan 2018 and Jun 2019, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 34% of everything it billed.
33Billing provider infoSTARR, JAKE
DEER LODGE, MT 59722
DEER LODGE, MT 59722
33aNPI1265465967assigned 07/08/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$20K
24GClaims747
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other General Practice Dentistry providers in Montana
Rank by total paid#90 of 149
Median peer was paid$40K
This provider vs. median0.5×
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 | 506 | $13K | |
| 2019 | 241 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 289 | 278 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 182 | 177 | $6K |
| D1206 | Topical application of fluoride varnish | 19% | 178 | 173 | $4K |
| D1110 | Prophylaxis - adult | 10% | 44 | 40 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.5% | 28 | 27 | $896.91 |
| D0272 | Bitewings - two radiographic images | 2.7% | 26 | 26 | $537.07 |
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.