Dental
Matousek-Ronck, Jennifer
Matousek-Ronck, Jennifer was paid $62K by Medicaid between Mar 2018 and Mar 2020, across 12 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 23% of everything it billed.
33Billing provider infoMATOUSEK-RONCK, JENNIFER
SPRINGDALE, AR 72764
SPRINGDALE, AR 72764
33aNPI1306912373assigned 11/28/2006
33bProvider typeDentist
28Total paid$62K
24GClaims1,755
24DCodes billed12
24AFirst – last monthMar 2018 – Mar 2020
Compared with peers
Next to other Dentist providers in Arkansas
Rank by total paid#92 of 211
Median peer was paid$44K
This provider vs. median1.4×
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 | 102 | $9K | |
| 2019 | 432 | $15K | |
| 2020 | 1,221 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 23% | 102 | 55 | $14K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 14% | 109 | 91 | $9K |
| D1110 | Prophylaxis - adult | 11% | 139 | 138 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 249 | 249 | $6K |
| D0272 | Bitewings - two radiographic images | 8.0% | 207 | 207 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.6% | 157 | 153 | $4K |
| D1206 | Topical application of fluoride varnish | 6.4% | 206 | 206 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 5.8% | 224 | 222 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 206 | 206 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.6% | 80 | 80 | $3K |
| D2140 | 4.2% | 40 | 30 | $3K | |
| D1351 | Sealant - per tooth | 1.6% | 36 | 12 | $1K |
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.