Dental
Andrews, Jordan
Andrews, Jordan was paid $68K by Medicaid between May 2018 and Dec 2020, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.
33Billing provider infoANDREWS, JORDAN
WALNUT RIDGE, AR 72476
WALNUT RIDGE, AR 72476
33aNPI1457889453assigned 06/02/2017
33bProvider typeDentist
28Total paid$68K
24GClaims3,055
24DCodes billed12
24AFirst – last monthMay 2018 – Dec 2020
Compared with peers
Next to other Dentist providers in Arkansas
Rank by total paid#88 of 211
Median peer was paid$44K
This provider vs. median1.6×
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 | 879 | $15K | |
| 2019 | 1,648 | $39K | |
| 2020 | 528 | $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 | 27% | 842 | 753 | $18K |
| D1110 | Prophylaxis - adult | 22% | 394 | 360 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 523 | 476 | $8K |
| D0272 | Bitewings - two radiographic images | 11% | 498 | 454 | $7K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.9% | 209 | 177 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 6.6% | 60 | 59 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 71 | 25 | $2K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 80 | 69 | $2K |
| D0330 | Panoramic radiographic image | 2.8% | 147 | 129 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 183 | 164 | $2K |
| D2140 | 1.5% | 16 | 13 | $986.35 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 32 | 32 | $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.