Clinic
Jackson Dental Alliance, PLLC
Jackson Dental Alliance, PLLC was paid $4K by Medicaid between Sep 2024 and Dec 2024, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoJACKSON DENTAL ALLIANCE, PLLC
MT JULIET, TN 37122
MT JULIET, TN 37122
33aNPI1396431060assigned 04/14/2023
33bProvider typeDental Clinic/Center
28Total paid$4K
24GClaims160
24DCodes billed5
24AFirst – last monthSep 2024 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Tennessee
Rank by total paid#38 of 40
Median peer was paid$259K
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 | 160 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 47 | 47 | $1K |
| D1206 | Topical application of fluoride varnish | 23% | 44 | 44 | $881.50 |
| D0330 | Panoramic radiographic image | 16% | 17 | 17 | $602.95 |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 19 | 19 | $579.37 |
| D0272 | Bitewings - two radiographic images | 13% | 33 | 32 | $493.35 |
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.
From NPPES
Who's on the registration
Authorized officialJACKSON, RONALD (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Madison County EMS | Richmond, KY | $2.41M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.