Dental
Tan, Jennifer
Tan, Jennifer was paid $23K by Medicaid between Jun 2020 and Mar 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoTAN, JENNIFER
DARIEN, IL 60561
DARIEN, IL 60561
33aNPI1265692081assigned 06/16/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$23K
24GClaims822
24DCodes billed6
24AFirst – last monthJun 2020 – Mar 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#750 of 1,017
Median peer was paid$123K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 182 | $5K | |
| 2021 | 270 | $8K | |
| 2022 | 205 | $5K | |
| 2023 | 140 | $4K | |
| 2024incomplete | 25 | $896.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 231 | 214 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 279 | 266 | $8K |
| D1206 | Topical application of fluoride varnish | 24% | 210 | 195 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 1.0% | 37 | 37 | $231.44 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 24 | 24 | $103.16 |
| D1999 | 0% | 41 | 30 | $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.