Clinic
Jessica R Bentoski DDS MS PLLC
Jessica R Bentoski DDS MS PLLC was paid $941K by Medicaid between Feb 2023 and Dec 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoJESSICA R BENTOSKI DDS MS PLLC
SAGINAW, MI 48603
SAGINAW, MI 48603
33aNPI1346979457assigned 06/06/2022
33bProvider typeDental Clinic/Center
28Total paid$941K
24GClaims19,800
24DCodes billed21
24AFirst – last monthFeb 2023 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#46 of 431
Median peer was paid$24K
This provider vs. median39×
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 | |
|---|---|---|---|
| 2023 | 10,127 | $480K | |
| 2024incomplete | 9,673 | $461K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 1,616 | 1,037 | $196K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 3,374 | 3,372 | $141K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 597 | 472 | $116K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10.0% | 2,863 | 2,861 | $94K |
| D1206 | Topical application of fluoride varnish | 9.9% | 3,337 | 3,335 | $93K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.9% | 426 | 339 | $56K |
| D7140 | Extraction, erupted tooth or exposed root | 5.2% | 556 | 386 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 526 | 377 | $48K |
| D1351 | Sealant - per tooth | 3.9% | 1,189 | 422 | $37K |
| D0272 | Bitewings - two radiographic images | 3.5% | 1,486 | 1,485 | $33K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.9% | 117 | 112 | $18K |
| D9310 | 1.5% | 194 | 194 | $14K |
9 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 762 | $14K |
| D0330 | Panoramic radiographic image | 1.5% | 190 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 570 | $8K |
| D0274 | Bitewings - four radiographic images | <1% | 106 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 57 | $4K |
| D0191 | <1% | 100 | $2K | |
| D2330 | <1% | 21 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $803.71 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 1,700 | $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.
From NPPES
Who's on the registration
Authorized officialBENTOSKI, JESSICA (PEDIATRIC DENTIST/OWNER)