Dental
Lucovich, Jessica
Lucovich, Jessica was paid $1.04M by Medicaid between Jan 2018 and Oct 2023, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoLUCOVICH, JESSICA
HORN LAKE, MS 38637
HORN LAKE, MS 38637
33aNPI1275973067assigned 06/26/2013
33bProvider typeDentist
28Total paid$1.04M
24GClaims37,289
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Dentist providers in Mississippi
Rank by total paid#21 of 261
Median peer was paid$64K
This provider vs. median16×
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 | 11,132 | $321K | |
| 2019 | 10,641 | $259K | |
| 2020 | 6,771 | $214K | |
| 2021 | 600 | $19K | |
| 2022 | 1,729 | $52K | |
| 2023 | 6,416 | $177K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 1,415 | 796 | $154K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 6,990 | 5,155 | $151K |
| D1206 | Topical application of fluoride varnish | 9.6% | 4,060 | 3,858 | $100K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.6% | 2,128 | 2,081 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.4% | 4,400 | 2,652 | $66K |
| D7140 | Extraction, erupted tooth or exposed root | 6.3% | 849 | 493 | $66K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.5% | 1,725 | 1,619 | $57K |
| D1351 | Sealant - per tooth | 5.1% | 1,944 | 303 | $53K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.0% | 399 | 230 | $52K |
| D0330 | Panoramic radiographic image | 4.6% | 1,160 | 1,112 | $48K |
| D0272 | Bitewings - two radiographic images | 3.8% | 3,040 | 2,276 | $40K |
| D0274 | Bitewings - four radiographic images | 3.1% | 1,519 | 1,284 | $32K |
10 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 364 | $31K |
| D9248 | 2.3% | 483 | $24K | |
| D0210 | Intraoral - complete series of radiographic images | 2.0% | 292 | $21K |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 2,276 | $17K |
| D0140 | Limited oral evaluation - problem focused | 1.3% | 335 | $13K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 812 | $9K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 69 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 157 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 844 | $4K |
| D0603 | 0% | 2,028 | $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.