Dental
Jackson, Hannah
Jackson, Hannah was paid $14K by Medicaid between Jul 2024 and Nov 2024, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 49% of everything it billed.
33Billing provider infoJACKSON, HANNAH
NEW ALBANY, IN 47150
NEW ALBANY, IN 47150
33aNPI1396397048assigned 07/12/2019
33bProvider typePediatric Dentist
28Total paid$14K
24GClaims537
24DCodes billed5
24AFirst – last monthJul 2024 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in Indiana
Rank by total paid#121 of 155
Median peer was paid$414K
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 | |
|---|---|---|---|
| 2024incomplete | 537 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 49% | 134 | 128 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 117 | 109 | $3K |
| D1206 | Topical application of fluoride varnish | 20% | 140 | 135 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.3% | 106 | 37 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 40 | 40 | $507.00 |
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.