Dental
Desimone, Jeffrey
Desimone, Jeffrey was paid $7K by Medicaid between May 2024 and Oct 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.
33Billing provider infoDESIMONE, JEFFREY
RANDOLPH, NJ 07869
RANDOLPH, NJ 07869
33aNPI1467148858assigned 04/18/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims226
24DCodes billed5
24AFirst – last monthMay 2024 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#557 of 790
Median peer was paid$43K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 226 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 32% | 53 | 53 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 81 | 81 | $2K |
| D1206 | Topical application of fluoride varnish | 18% | 41 | 41 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 12% | 36 | 36 | $900.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 9.3% | 15 | 15 | $675.00 |
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.