Dental
Nguyen, Jackson
Nguyen, Jackson was paid $2.11M by Medicaid between Jun 2020 and Nov 2021, across 24 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 43% of everything it billed.
33Billing provider infoNGUYEN, JACKSON
ALLENTOWN, PA 18104
ALLENTOWN, PA 18104
33aNPI1447515259assigned 07/08/2012
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$2.11M
24GClaims23,263
24DCodes billed24
24AFirst – last monthJun 2020 – Nov 2021
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Pennsylvania
Rank by total paid#6 of 114
Median peer was paid$117K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2020 | 4,346 | $419K | |
| 2021 | 18,917 | $1.69M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 43% | 9,689 | 2,220 | $906K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 23% | 2,900 | 1,999 | $492K |
| D9222 | 12% | 2,001 | 1,996 | $253K | |
| D7240 | Removal of impacted tooth - completely bony | 7.4% | 785 | 317 | $157K |
| D7230 | 5.2% | 644 | 404 | $109K | |
| D0330 | Panoramic radiographic image | 3.3% | 1,946 | 1,940 | $70K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 2,177 | 2,167 | $44K |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 942 | 929 | $36K |
| D8670 | Periodic orthodontic treatment visit | <1% | 220 | 220 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 87 | 51 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 145 | 145 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 177 | 177 | $3K |
12 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 62 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 138 | $2K |
| D1110 | Prophylaxis - adult | <1% | 50 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 109 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 23 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 101 | $792.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 26 | $486.72 |
| D0274 | Bitewings - four radiographic images | <1% | 16 | $448.00 |
| D1999 | 0% | 808 | $0.00 | |
| D1330 | 0% | 162 | $0.00 | |
| D0603 | 0% | 12 | $0.00 | |
| D1310 | 0% | 43 | $0.00 |
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.