Dental
Dodge, Jeffrey
Dodge, Jeffrey was paid $1.02M by Medicaid between May 2018 and Dec 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 25% of everything it billed.
33Billing provider infoDODGE, JEFFREY
WOONSOCKET, RI 02895
WOONSOCKET, RI 02895
33aNPI1336170026assigned 07/05/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$1.02M
24GClaims45,703
24DCodes billed35
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Rhode Island
Rank by total paid#16 of 86
Median peer was paid$77K
This provider vs. median13×
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 | 1,703 | $69K | |
| 2019 | 1,807 | $68K | |
| 2020 | 2,098 | $66K | |
| 2021 | 4,707 | $169K | |
| 2022 | 9,472 | $212K | |
| 2023 | 11,684 | $204K | |
| 2024incomplete | 14,232 | $237K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 25% | 3,268 | 2,810 | $261K |
| D1110 | Prophylaxis - adult | 19% | 6,628 | 5,972 | $193K |
| D9410 | 18% | 6,309 | 5,552 | $185K | |
| D1206 | Topical application of fluoride varnish | 11% | 6,320 | 5,738 | $108K |
| D0190 | 5.2% | 4,701 | 3,978 | $53K | |
| D0140 | Limited oral evaluation - problem focused | 4.2% | 1,317 | 1,167 | $43K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.1% | 728 | 721 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.5% | 1,321 | 1,237 | $26K |
| D0274 | Bitewings - four radiographic images | 2.0% | 809 | 737 | $20K |
| D0191 | 2.0% | 1,685 | 1,496 | $20K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 809 | 603 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 971 | 874 | $10K |
23 more codes
| D9920 | <1% | 125 | $10K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 125 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 79 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 53 | $7K |
| D1351 | Sealant - per tooth | <1% | 197 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 216 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 66 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 710 | $4K |
| D0330 | Panoramic radiographic image | <1% | 50 | $3K |
| D9420 | <1% | 13 | $3K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 46 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 46 | $1K |
| D1354 | <1% | 92 | $67.01 | |
| D0603 | <1% | 2,191 | $16.97 | |
| D0602 | <1% | 1,232 | $9.17 | |
| D0601 | <1% | 292 | $2.52 | |
| D4346 | 0% | 51 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 13 | $0.00 |
| D4355 | 0% | 22 | $0.00 | |
| D9996 | 0% | 1,211 | $0.00 | |
| D0350 | 0% | 2,102 | $0.00 | |
| D9932 | 0% | 1,413 | $0.00 | |
| D9933 | 0% | 492 | $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.