Mason Dental PC

Mason Dental PC was paid $613.00 by Medicaid between May 2018 and Oct 2022, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.

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	13	$291.00
2019	13	$322.00
2021	771	$0.00
2022	734	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	100%	719	345	$613.00
D1208	Topical application of fluoride, excluding varnish	0%	126	57	$0.00
D1206	Topical application of fluoride varnish	0%	18	16	$0.00
D1110	Prophylaxis - adult	0%	525	274	$0.00
D1120	Dental cleaning, childProphylaxis - child	0%	128	53	$0.00
D0274	Bitewings - four radiographic images	0%	15	13	$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 officialMASON, JONATHAN (DMD)