Dental
Grapentine, Jessica
Grapentine, Jessica was paid $418.00 by Medicaid between Oct 2021 and Dec 2021, across 3 billing codes. Its largest line is D0191, — 97% of everything it billed.
33Billing provider infoGRAPENTINE, JESSICA
SALEM, OR 97301
SALEM, OR 97301
33aNPI1376004960assigned 03/27/2019
33bProvider typeDental Hygienist
28Total paid$418.00
24GClaims97
24DCodes billed3
24AFirst – last monthOct 2021 – Dec 2021
Compared with peers
Next to other Dental Hygienist providers in Oregon
Rank by total paid#36 of 78
Median peer was paid$216.04
This provider vs. median1.9×
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 | 97 | $418.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0191 | 97% | 41 | 34 | $407.00 | |
| D0602 | 2.2% | 15 | 15 | $9.00 | |
| D1330 | <1% | 41 | 34 | $2.00 |
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.