Dental
Daniels, Jonathan
Daniels, Jonathan was paid $4K by Medicaid between Oct 2019 and Feb 2020, across 5 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 46% of everything it billed.
33Billing provider infoDANIELS, JONATHAN
SOUTHWICK, MA 01077
SOUTHWICK, MA 01077
33aNPI1386174019assigned 06/15/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$4K
24GClaims137
24DCodes billed5
24AFirst – last monthOct 2019 – Feb 2020
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#576 of 693
Median peer was paid$87K
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 | |
|---|---|---|---|
| 2019 | 125 | $4K | |
| 2020 | 12 | $375.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 46% | 58 | 58 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 37 | 37 | $925.00 |
| D1110 | Prophylaxis - adult | 17% | 15 | 15 | $675.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.8% | 14 | 14 | $345.00 |
| D0274 | Bitewings - four radiographic images | 4.0% | 13 | 13 | $156.00 |
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.