Long, Jon

Long, Jon was paid $58K by Medicaid between Jan 2018 and Mar 2019, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.

33Billing provider infoLONG, JON
CARTHAGE, TN 37030

33aNPI1477674463assigned 04/03/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$58K

24GClaims2,013

24DCodes billed8

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other General Practice Dentistry providers in Tennessee

Rank by total paid#214 of 336

Median peer was paid$123K

This provider vs. median0.5×

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	1,524	$45K
2019	489	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	473	465	$11K
D1110	Prophylaxis - adult	18%	244	240	$10K
D1208	Topical application of fluoride, excluding varnish	16%	455	452	$9K
D1120	Dental cleaning, childProphylaxis - child	12%	225	220	$7K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	9.0%	193	168	$5K
D0210	Intraoral - complete series of radiographic images	9.0%	85	84	$5K
D0272	Bitewings - two radiographic images	8.3%	264	262	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	7.8%	74	28	$4K

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.