Jackson, Douglas

Jackson, Douglas was paid $5K by Medicaid between Jan 2018 and Feb 2018, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.

33Billing provider infoJACKSON, DOUGLAS
RED SPRINGS, NC 28377

33aNPI1457401762assigned 01/11/2007

33bProvider typeDentist

28Total paid$5K

24GClaims222

24DCodes billed7

24AFirst – last monthJan 2018 – Feb 2018

Compared with peers

Next to other Dentist providers in North Carolina

Rank by total paid#326 of 402

Median peer was paid$154K

This provider vs. median0.0×

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	222	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	35%	52	50	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	66	64	$1K
D0220	Intraoral - periapical first radiographic image	9.9%	37	34	$447.76
D1120	Dental cleaning, childProphylaxis - child	6.8%	12	12	$310.44
D1208	Topical application of fluoride, excluding varnish	6.6%	22	21	$298.68
D0230	Intraoral - periapical each additional radiographic image	5.7%	21	16	$260.12
D0274	Bitewings - four radiographic images	5.1%	12	12	$233.25

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.