Dental
Jackson, Marvin
Jackson, Marvin was paid $217K by Medicaid between Jan 2018 and Oct 2024, across 33 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.
33Billing provider infoJACKSON, MARVIN
PHOENIX, AZ 85032
PHOENIX, AZ 85032
33aNPI1265624332assigned 08/13/2007
33bProvider typeDentist
28Total paid$217K
24GClaims29,889
24DCodes billed33
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#40 of 468
Median peer was paid$686.85
This provider vs. median317×
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 | 77 | $137.44 | |
| 2019 | 2,009 | $50K | |
| 2020 | 1,161 | $30K | |
| 2021 | 6,668 | $24K | |
| 2022 | 11,860 | $36K | |
| 2023 | 6,759 | $66K | |
| 2024incomplete | 1,355 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 1,903 | 1,777 | $60K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 1,972 | 822 | $22K |
| D0140 | Limited oral evaluation - problem focused | 9.7% | 1,977 | 1,828 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 8.6% | 3,954 | 3,515 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 1,274 | 1,197 | $12K |
| D0274 | Bitewings - four radiographic images | 5.7% | 2,079 | 1,920 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 2,345 | 651 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 4,309 | 2,370 | $10K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.3% | 664 | 240 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 1,561 | 1,388 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.0% | 122 | 71 | $7K |
| D1110 | Prophylaxis - adult | 2.8% | 1,312 | 1,206 | $6K |
21 more codes
| D1206 | Topical application of fluoride varnish | 2.2% | 666 | $5K |
| D2140 | 1.6% | 46 | $3K | |
| D2950 | 1.3% | 451 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 309 | $3K |
| D9420 | 1.0% | 489 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 294 | $1K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 45 | $944.83 |
| D0330 | Panoramic radiographic image | <1% | 284 | $748.55 |
| D0272 | Bitewings - two radiographic images | <1% | 529 | $559.44 |
| D2390 | <1% | 37 | $390.30 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,155 | $302.09 |
| D9243 | <1% | 969 | $150.66 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 103 | $73.74 |
| D9239 | <1% | 441 | $50.22 | |
| D0350 | 0% | 78 | $0.00 | |
| D9219 | 0% | 90 | $0.00 | |
| D4341 | 0% | 258 | $0.00 | |
| D2332 | 0% | 24 | $0.00 | |
| D9248 | 0% | 16 | $0.00 | |
| D0603 | 0% | 29 | $0.00 | |
| D9920 | 0% | 104 | $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.