Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › BOYNTON BEACH › DR RICHARD K JACKSON PA

DR RICHARD K JACKSON PA

NPI: 1407127640 · BOYNTON BEACH, FL 33435 · Dentist · NPI assigned 01/19/2012

$734.12
Total Medicaid Paid
177
Total Claims
169
Beneficiaries
4
Codes Billed
2020-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialJACKSON, RICHARD (DENTIST)
NPI Enumeration Date01/19/2012

Related Entities

Other providers sharing the same authorized official: JACKSON, RICHARD

ProviderCityStateTotal Paid
DOMINION MEDICAL ASSOCIATES, INC RICHMOND VA $6.25M
DANVILLE PATHOLOGY ASSOCIATES PLLP DANVILLE KY $550K
GREENWOOD ORTHOPEDICS PC INDIANAPOLIS IN $105K
RICHARD T JACKSON LLC CLIFTON PARK NY $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 25 $0.00
2022 126 $734.12
2023 26 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 13 13 $734.12
D1330 74 70 $0.00
D1208 Topical application of fluoride, excluding varnish 75 71 $0.00
D0120 Periodic oral evaluation - established patient 15 15 $0.00