Dental
Jae Dental PLLC
Jae Dental PLLC was paid $3.26M by Medicaid between Mar 2018 and Dec 2024, across 23 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 14% of everything it billed.
33Billing provider infoJAE DENTAL PLLC
IRVING, TX 75060
IRVING, TX 75060
33aNPI1265987598assigned 08/16/2016
33bProvider typeGeneral Practice Dentistry
28Total paid$3.26M
24GClaims117,315
24DCodes billed23
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#107 of 2,774
Median peer was paid$43K
This provider vs. median76×
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 | 261 | $4K | |
| 2019 | 25 | $0.00 | |
| 2020 | 3,475 | $86K | |
| 2021 | 29,202 | $847K | |
| 2022 | 31,026 | $877K | |
| 2023 | 29,918 | $799K | |
| 2024incomplete | 23,408 | $651K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 14% | 3,233 | 3,206 | $452K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 3,331 | 1,911 | $334K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 10,648 | 10,564 | $304K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.4% | 7,650 | 7,590 | $273K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.8% | 22,971 | 8,875 | $254K |
| D1351 | Sealant - per tooth | 7.3% | 8,668 | 2,791 | $237K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.7% | 2,884 | 1,709 | $220K |
| D1110 | Prophylaxis - adult | 5.3% | 3,268 | 3,246 | $174K |
| D1208 | Topical application of fluoride, excluding varnish | 5.0% | 11,326 | 11,241 | $162K |
| D0210 | Intraoral - complete series of radiographic images | 4.1% | 2,057 | 2,043 | $135K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 9,439 | 9,334 | $115K |
| D0274 | Bitewings - four radiographic images | 3.3% | 3,229 | 3,199 | $109K |
11 more codes
| D7240 | Removal of impacted tooth - completely bony | 3.1% | 362 | $100K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.8% | 637 | $92K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 3,590 | $91K |
| D0272 | Bitewings - two radiographic images | 2.6% | 3,694 | $84K |
| D0350 | 1.6% | 3,867 | $52K | |
| D9248 | 1.4% | 397 | $47K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 433 | $15K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 146 | $12K |
| D0140 | Limited oral evaluation - problem focused | <1% | 178 | $3K |
| D0170 | <1% | 20 | $148.86 | |
| D0603 | 0% | 15,287 | $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.
From NPPES
Who's on the registration
Authorized officialBACON, JASON (OWNER)
| Provider | Location | Paid |
|---|---|---|
| J. Troy Bacon Dentistry, PLLC | Fort Worth, TX | $1.72M |
| Valley Square Dental, PLLC | Lewisville, TX | $229K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.