Dental
Harris Martin, Jacqueline
Harris Martin, Jacqueline was paid $490.00 by Medicaid between Jan 2021 and Jan 2021, across 1 billing code. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoHARRIS MARTIN, JACQUELINE
WASHINGTON, DC 20006
WASHINGTON, DC 20006
33aNPI1376727206assigned 12/27/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$490.00
24GClaims13
24DCodes billed1
24AFirst – last monthJan 2021 – Jan 2021
Compared with peers
Next to other General Practice Dentistry providers in District of Columbia
Rank by total paid#82 of 93
Median peer was paid$36K
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 | |
|---|---|---|---|
| 2021 | 13 | $490.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 13 | 13 | $490.00 |
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.