Jackson, Brent

Jackson, Brent was paid $9K by Medicaid between Oct 2018 and Feb 2020, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.

33Billing provider infoJACKSON, BRENT
LAPEER, MI 48446

33aNPI1447665013assigned 06/23/2014

33bProvider typeDentist

28Total paid$9K

24GClaims324

24DCodes billed4

24AFirst – last monthOct 2018 – Feb 2020

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#605 of 1,033

Median peer was paid$15K

This provider vs. median0.6×

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	84	$3K
2019	184	$5K
2020	56	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	40%	156	156	$4K
D1120	Dental cleaning, childProphylaxis - child	35%	92	92	$3K
D1110	Prophylaxis - adult	13%	27	27	$1K
D1206	Topical application of fluoride varnish	12%	49	49	$1K

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.