Dental
Jourdan Family Dentistry
Jourdan Family Dentistry was paid $291K by Medicaid between Oct 2021 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 36% of everything it billed.
33Billing provider infoJOURDAN FAMILY DENTISTRY
VINITA, OK 74301
VINITA, OK 74301
33aNPI1447426317assigned 05/01/2008
33bProvider typeDentist
28Total paid$291K
24GClaims8,485
24DCodes billed15
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Dentist providers in Oklahoma
Rank by total paid#64 of 150
Median peer was paid$154K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2021 | 664 | $23K | |
| 2022 | 2,922 | $107K | |
| 2023 | 3,657 | $124K | |
| 2024incomplete | 1,242 | $37K |
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 | 36% | 986 | 470 | $105K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 1,231 | 1,228 | $37K |
| D1110 | Prophylaxis - adult | 12% | 784 | 784 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 1,952 | 1,947 | $29K |
| D0274 | Bitewings - four radiographic images | 8.1% | 784 | 784 | $24K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.7% | 1,074 | 1,070 | $22K |
| D0330 | Panoramic radiographic image | 5.8% | 345 | 345 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 534 | 530 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 120 | 120 | $4K |
| D0603 | <1% | 263 | 263 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 39 | 24 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 97 | 97 | $2K |
3 more codes
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 officialJOURDAN, THOMAS (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Main Street Dental Associates | Miami, OK | $625K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.