Jackson, Terrance
Jackson, Terrance was paid $303K by Medicaid between Apr 2022 and Apr 2023, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoJACKSON, TERRANCE
CHICAGO, IL 60660
CHICAGO, IL 60660
33aNPI1356929335assigned 03/31/2021
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$303K
24GClaims11,916
24DCodes billed18
24AFirst – last monthApr 2022 – Apr 2023
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Illinois
Rank by total paid#83 of 981
Median peer was paid$27K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2022 | 9,362 | $236K | |
| 2023 | 2,554 | $67K |
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 | 14% | 614 | 389 | $41K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,010 | 999 | $41K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.4% | 1,029 | 1,015 | $28K |
| D4341 | 9.2% | 182 | 83 | $28K | |
| D1110 | Prophylaxis - adult | 8.4% | 535 | 529 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 7.9% | 927 | 916 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.6% | 947 | 936 | $23K |
| D0274 | Bitewings - four radiographic images | 6.9% | 1,088 | 1,079 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 5.9% | 328 | 245 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 1,648 | 1,625 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.2% | 1,792 | 1,460 | $10K |
| D1351 | Sealant - per tooth | 3.2% | 160 | 63 | $10K |
6 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.5% | 97 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.5% | 188 | $8K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 194 | $4K |
| D0272 | Bitewings - two radiographic images | 1.0% | 288 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 75 | $789.02 |
| D1999 | 0% | 814 | $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.