Dental
Thomas R Jackson DDS PA
Thomas R Jackson DDS PA was paid $151K by Medicaid between Jan 2018 and Mar 2020, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoTHOMAS R JACKSON DDS PA
MOUNT AIRY, NC 27030
MOUNT AIRY, NC 27030
33aNPI1336261528assigned 04/06/2007
33bProvider typeDentist
28Total paid$151K
24GClaims6,454
24DCodes billed11
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Dentist providers in North Carolina
Rank by total paid#203 of 402
Median peer was paid$154K
This provider vs. median1.0×
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 | 3,151 | $78K | |
| 2019 | 2,869 | $63K | |
| 2020 | 434 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 1,647 | 1,279 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 1,784 | 1,430 | $35K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 345 | 105 | $16K |
| D1206 | Topical application of fluoride varnish | 8.3% | 971 | 791 | $13K |
| D0272 | Bitewings - two radiographic images | 7.6% | 834 | 640 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.6% | 393 | 326 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.8% | 88 | 54 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 228 | 157 | $7K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.8% | 26 | 12 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 26 | 13 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 112 | 89 | $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.
From NPPES
Who's on the registration
Authorized officialJACKSON, THOMAS (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Jackson Dental | Lapeer, MI | $99K |
| Mercer Medical Associates PSC | Harrodsburg, KY | $84K |
| Dentistry for Kids, INC | Harrison City, PA | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.