Jackson Family Dentistry

Jackson Family Dentistry was paid $65K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 41% of everything it billed.

33Billing provider infoJACKSON FAMILY DENTISTRY
JACKSON, WY 83001

33aNPI1457485732assigned 03/16/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$65K

24GClaims2,061

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other General Practice Dentistry providers in Wyoming

Rank by total paid#14 of 64

Median peer was paid$6K

This provider vs. median10×

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	95	$3K
2019	37	$1K
2020	60	$2K
2021	338	$9K
2022	510	$15K
2023	648	$22K
2024incomplete	373	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	41%	898	835	$27K
D1110	Prophylaxis - adult	26%	381	344	$17K
D1206	Topical application of fluoride varnish	22%	516	475	$14K
D1120	Dental cleaning, childProphylaxis - child	9.5%	216	195	$6K
D0272	Bitewings - two radiographic images	<1%	32	30	$625.95
D0274	Bitewings - four radiographic images	<1%	18	14	$554.58

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 officialSMITH, CARY (GENERAL PARTNER)