Dental
Fairbanks, Jonathan
Fairbanks, Jonathan was paid $14K by Medicaid between Sep 2018 and Oct 2021, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 58% of everything it billed.
33Billing provider infoFAIRBANKS, JONATHAN
PULLMAN, WA 99163
PULLMAN, WA 99163
33aNPI1316166218assigned 04/25/2007
33bProvider typeDentist
28Total paid$14K
24GClaims1,268
24DCodes billed9
24AFirst – last monthSep 2018 – Oct 2021
Compared with peers
Next to other Dentist providers in Washington
Rank by total paid#199 of 335
Median peer was paid$30K
This provider vs. median0.5×
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 | 306 | $2K | |
| 2019 | 860 | $12K | |
| 2021 | 102 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 58% | 47 | 47 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 40 | 40 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.0% | 205 | 205 | $277.08 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 163 | 163 | $66.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 490 | 162 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 26 | 26 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 204 | 204 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 47 | 12 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 46 | 46 | $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.