Dental
Jackson, Stephanie
Jackson, Stephanie was paid $53K by Medicaid between May 2023 and Apr 2024, across 10 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 100% of everything it billed.
33Billing provider infoJACKSON, STEPHANIE
HARLINGEN, TX 78550
HARLINGEN, TX 78550
33aNPI1477569382assigned 07/31/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$53K
24GClaims1,068
24DCodes billed10
24AFirst – last monthMay 2023 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,317 of 2,774
Median peer was paid$43K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2023 | 591 | $33K | |
| 2024incomplete | 477 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 100% | 376 | 327 | $53K |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 105 | 87 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 16 | 14 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 118 | 101 | $0.00 |
| D0603 | 0% | 163 | 141 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 110 | 95 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 16 | 14 | $0.00 |
| D1330 | 0% | 134 | 115 | $0.00 | |
| D0170 | 0% | 12 | 12 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 18 | 15 | $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.