Dental
Stout, Jean
Stout, Jean was paid $41K by Medicaid between Apr 2021 and Dec 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoSTOUT, JEAN
PASADENA, TX 77502
PASADENA, TX 77502
33aNPI1356417778assigned 11/28/2006
33bProvider typePediatric Dentist
28Total paid$41K
24GClaims1,921
24DCodes billed12
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#489 of 693
Median peer was paid$252K
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 | 39 | $0.00 | |
| 2023 | 179 | $6K | |
| 2024incomplete | 1,703 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 251 | 250 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | 16% | 47 | 47 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 176 | 175 | $6K |
| D1110 | Prophylaxis - adult | 12% | 88 | 88 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 281 | 280 | $4K |
| D0272 | Bitewings - two radiographic images | 6.7% | 145 | 145 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 6.0% | 199 | 199 | $2K |
| D0274 | Bitewings - four radiographic images | 5.6% | 84 | 84 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 193 | 189 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 15 | 12 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 33 | 31 | $894.63 |
| D0603 | 0% | 409 | 408 | $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.