Dental
Carlson, Jan
Carlson, Jan was paid $38K by Medicaid between Oct 2023 and Dec 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 44% of everything it billed.
33Billing provider infoCARLSON, JAN
LAKEWOOD, NY 14750
LAKEWOOD, NY 14750
33aNPI1417059478assigned 09/01/2006
33bProvider typePediatric Dentist
28Total paid$38K
24GClaims1,438
24DCodes billed6
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#374 of 514
Median peer was paid$196K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 300 | $8K | |
| 2024incomplete | 1,138 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 44% | 399 | 399 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 435 | 435 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 359 | 359 | $5K |
| D0272 | Bitewings - two radiographic images | 7.2% | 179 | 179 | $3K |
| D1206 | Topical application of fluoride varnish | 3.9% | 51 | 51 | $1K |
| D1110 | Prophylaxis - adult | 2.1% | 15 | 15 | $817.80 |
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.