Dental
Williamson, Jace
Williamson, Jace was paid $7K by Medicaid between Jan 2021 and Feb 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 44% of everything it billed.
33Billing provider infoWILLIAMSON, JACE
MESQUITE, TX 75181
MESQUITE, TX 75181
33aNPI1336375831assigned 06/10/2009
33bProvider typeDentist
28Total paid$7K
24GClaims418
24DCodes billed6
24AFirst – last monthJan 2021 – Feb 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,157 of 1,678
Median peer was paid$35K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 88 | $1K | |
| 2022 | 107 | $2K | |
| 2023 | 211 | $3K | |
| 2024incomplete | 12 | $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 | 44% | 110 | 106 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 31% | 148 | 143 | $2K |
| D1110 | Prophylaxis - adult | 12% | 16 | 15 | $824.32 |
| D0274 | Bitewings - four radiographic images | 7.7% | 16 | 15 | $520.54 |
| D1120 | Dental cleaning, childProphylaxis - child | 5.5% | 13 | 12 | $367.50 |
| D0603 | 0% | 115 | 113 | $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.