Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Campbell, Jessica

Campbell, Jessica was paid $433K by Medicaid between Jan 2018 and Aug 2021, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.

33Billing provider infoCAMPBELL, JESSICA
VESTAL, NY 13850
33aNPI1366885857assigned 04/15/2013
33bProvider typePediatric Dentist
28Total paid$433K
24GClaims12,589
24DCodes billed19
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#185 of 514
Median peer was paid$196K
This provider vs. median2.2×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20181,430$44K
2019260$5K
20206,522$230K
20214,377$153K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 20% 2,190 2,190 $88K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 2,401 2,399 $65K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 14% 423 419 $59K
D1206 Topical application of fluoride varnish 7.6% 1,204 1,204 $33K
D0272 Bitewings - two radiographic images 6.9% 1,456 1,456 $30K
D1351 Sealant - per tooth 6.7% 780 230 $29K
D1110 Prophylaxis - adult 6.7% 550 549 $29K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 6.2% 357 211 $27K
D1208 Topical application of fluoride, excluding varnish 5.4% 1,723 1,722 $23K
D0330 Panoramic radiographic image 3.8% 354 354 $16K
D0274 Bitewings - four radiographic images 3.5% 419 419 $15K
D0150 Comprehensive oral evaluation - new or established patient 1.1% 158 158 $5K
7 more codes
D1354 1.0% 122 $4K
D0145 Oral evaluation for a patient under three years of age <1% 136 $4K
D0220 Intraoral - periapical first radiographic image <1% 137 $2K
D0140 Limited oral evaluation - problem focused <1% 75 $1K
D7140 Extraction, erupted tooth or exposed root <1% 24 $1K
D0230 Intraoral - periapical each additional radiographic image <1% 64 $759.50
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 16 $691.43

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.