Jackson, Dolphus

Jackson, Dolphus was paid $48K by Medicaid between Feb 2018 and Jun 2024, across 6 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 28% of everything it billed.

33Billing provider infoJACKSON, DOLPHUS
SPRING HILL, TN 37174

33aNPI1467511642assigned 12/06/2006

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$48K

24GClaims970

24DCodes billed6

24AFirst – last monthFeb 2018 – Jun 2024

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Tennessee

Rank by total paid#40 of 58

Median peer was paid$274K

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
2018	69	$2K
2019	85	$3K
2020	148	$8K
2021	203	$10K
2022	193	$17K
2023	135	$3K
2024incomplete	137	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	28%	176	80	$13K
D7240	Removal of impacted tooth - completely bony	21%	46	16	$10K
D0140	Limited oral evaluation - problem focused	19%	435	402	$9K
D9222		18%	114	107	$9K
D9612		10%	127	120	$5K
D0150	Comprehensive oral evaluation - new or established patient	4.0%	72	68	$2K

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.