Dental
Lee, Jessica
Lee, Jessica was paid $1K by Medicaid between Apr 2023 and May 2023, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 55% of everything it billed.
33Billing provider infoLEE, JESSICA
ELKHART, IN 46514
ELKHART, IN 46514
33aNPI1366177883assigned 07/19/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$1K
24GClaims37
24DCodes billed2
24AFirst – last monthApr 2023 – May 2023
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#622 of 723
Median peer was paid$60K
This provider vs. median0.0×
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 | 37 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 55% | 13 | 13 | $764.05 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 45% | 24 | 24 | $614.12 |
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.