Chen, Jeffery

Chen, Jeffery was paid $19K by Medicaid between Jan 2018 and Dec 2022, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.

33Billing provider infoCHEN, JEFFERY
SANDUSKY, OH 44870

33aNPI1386628006assigned 12/06/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$19K

24GClaims599

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2022

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#528 of 870

Median peer was paid$40K

This provider vs. median0.5×

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
2018	492	$17K
2022	107	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	29%	159	158	$6K
D0330	Panoramic radiographic image	24%	101	101	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	154	154	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	13%	44	27	$2K
D0150	Comprehensive oral evaluation - new or established patient	10%	75	75	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	7.8%	28	12	$2K
D0274	Bitewings - four radiographic images	1.3%	12	12	$252.00
D1208	Topical application of fluoride, excluding varnish	1.1%	13	13	$204.75
D0220	Intraoral - periapical first radiographic image	<1%	13	13	$65.25

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.