Dental
Jones, John
Jones, John was paid $26K by Medicaid between Jan 2018 and May 2021, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.
33Billing provider infoJONES, JOHN
PLEASANTVILLE, NJ 08232
PLEASANTVILLE, NJ 08232
33aNPI1346239514assigned 10/19/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$26K
24GClaims1,107
24DCodes billed11
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#453 of 790
Median peer was paid$43K
This provider vs. median0.6×
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 | 371 | $7K | |
| 2020 | 122 | $4K | |
| 2021 | 614 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 317 | 317 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 110 | 110 | $5K |
| D1110 | Prophylaxis - adult | 16% | 146 | 146 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 114 | 114 | $3K |
| D0330 | Panoramic radiographic image | 8.5% | 96 | 96 | $2K |
| D1351 | Sealant - per tooth | 6.2% | 80 | 12 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 49 | 49 | $1K |
| D0274 | Bitewings - four radiographic images | 3.7% | 81 | 81 | $972.00 |
| D1206 | Topical application of fluoride varnish | 1.4% | 12 | 12 | $375.00 |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 70 | 68 | $345.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 32 | 32 | $174.00 |
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.