Vidrine, Jean

Vidrine, Jean was paid $21K by Medicaid between Jan 2018 and Sep 2020, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 45% of everything it billed.

33Billing provider infoVIDRINE, JEAN
VILLE PLATTE, LA 70586

33aNPI1407983711assigned 02/27/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$21K

24GClaims734

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2020

Compared with peers

Next to other General Practice Dentistry providers in Louisiana

Rank by total paid#268 of 412

Median peer was paid$83K

This provider vs. median0.3×

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	238	$7K
2019	397	$11K
2020	99	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	45%	282	281	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	35%	279	278	$8K
D1208	Topical application of fluoride, excluding varnish	11%	120	119	$2K
D0150	Comprehensive oral evaluation - new or established patient	2.9%	13	13	$615.81
D1110	Prophylaxis - adult	2.7%	12	12	$576.12
D0272	Bitewings - two radiographic images	2.6%	28	27	$561.47

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.