Dental
Jackson Dental
Jackson Dental was paid $99K by Medicaid between Jan 2018 and Sep 2018, across 12 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 24% of everything it billed.
33Billing provider infoJACKSON DENTAL
LAPEER, MI 48446
LAPEER, MI 48446
33aNPI1407120504assigned 03/07/2012
33bProvider typeDentist
28Total paid$99K
24GClaims2,262
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#270 of 1,033
Median peer was paid$15K
This provider vs. median6.6×
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 | 2,262 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24% | 212 | 131 | $23K |
| D1110 | Prophylaxis - adult | 14% | 311 | 311 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 492 | 492 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 287 | 287 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.8% | 98 | 63 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 8.0% | 117 | 117 | $8K |
| D1206 | Topical application of fluoride varnish | 7.2% | 309 | 309 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 158 | 158 | $6K |
| D0274 | Bitewings - four radiographic images | 5.9% | 189 | 189 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.9% | 14 | 14 | $2K |
| D1351 | Sealant - per tooth | 1.3% | 45 | 14 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 30 | 29 | $359.00 |
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.
From NPPES
Who's on the registration
Authorized officialJACKSON, THOMAS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Thomas R Jackson DDS PA | Mount Airy, NC | $151K |
| Mercer Medical Associates PSC | Harrodsburg, KY | $84K |
| Dentistry for Kids, INC | Harrison City, PA | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.