Shak, Jimmy
Shak, Jimmy was paid $781K by Medicaid between Aug 2021 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoSHAK, JIMMY
OLD BRIDGE, NJ 08857
OLD BRIDGE, NJ 08857
33aNPI1285132530assigned 01/31/2018
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$781K
24GClaims30,852
24DCodes billed23
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New Jersey
Rank by total paid#5 of 181
Median peer was paid$10K
This provider vs. median74×
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 | |
|---|---|---|---|
| 2021 | 3,297 | $94K | |
| 2022 | 8,791 | $284K | |
| 2023 | 7,513 | $204K | |
| 2024incomplete | 11,251 | $200K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 3,594 | 3,588 | $158K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 14% | 844 | 340 | $110K |
| D1351 | Sealant - per tooth | 14% | 4,948 | 844 | $107K |
| D1206 | Topical application of fluoride varnish | 12% | 3,668 | 3,663 | $95K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 2,247 | 2,244 | $72K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 834 | 451 | $52K |
| D9920 | 3.4% | 984 | 899 | $27K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 1,076 | 1,022 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 851 | 849 | $21K |
| D0603 | 2.5% | 3,061 | 3,049 | $20K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 334 | 205 | $19K |
| D0272 | Bitewings - two radiographic images | 2.3% | 1,717 | 1,715 | $18K |
11 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 2,694 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 2,279 | $10K |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 400 | $9K |
| D0274 | Bitewings - four radiographic images | 1.1% | 614 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 199 | $5K |
| D1110 | Prophylaxis - adult | <1% | 92 | $5K |
| D0602 | <1% | 276 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 15 | $945.00 |
| D0330 | Panoramic radiographic image | <1% | 62 | $692.00 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 15 | $450.00 |
| D1330 | 0% | 48 | $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.