Dental
Benedictson, Jeffrey
Benedictson, Jeffrey was paid $27K by Medicaid between Dec 2019 and Jan 2020, across 13 billing codes. Its largest line is D1351, Sealant - per tooth — 21% of everything it billed.
33Billing provider infoBENEDICTSON, JEFFREY
BRENTWOOD, CA 94513
BRENTWOOD, CA 94513
33aNPI1376835918assigned 05/13/2011
33bProvider typeDentist
28Total paid$27K
24GClaims1,340
24DCodes billed13
24AFirst – last monthDec 2019 – Jan 2020
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,691 of 2,314
Median peer was paid$185K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 752 | $13K | |
| 2020 | 588 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 21% | 326 | 50 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 110 | 97 | $5K |
| D1206 | Topical application of fluoride varnish | 16% | 105 | 95 | $4K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 11% | 38 | 26 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.3% | 96 | 86 | $3K |
| D0274 | Bitewings - four radiographic images | 5.6% | 84 | 70 | $2K |
| D1354 | 5.0% | 138 | 42 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | 4.2% | 77 | 72 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 162 | 99 | $836.38 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.8% | 75 | 48 | $774.48 |
| D0272 | Bitewings - two radiographic images | 1.1% | 17 | 17 | $296.94 |
| D9215 | 1.0% | 88 | 55 | $282.90 |
1 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 24 | $153.60 |
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.