Jackqueline Mclean DDS LLC

Jackqueline Mclean DDS LLC was paid $12K by Medicaid between May 2019 and May 2022, across 6 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 31% of everything it billed.

33Billing provider infoJACKQUELINE MCLEAN DDS LLC
BRIDGEPORT, CT 06604

33aNPI1497219489assigned 01/24/2019

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims429

24DCodes billed6

24AFirst – last monthMay 2019 – May 2022

Compared with peers

Next to other General Practice Dentistry providers in Connecticut

Rank by total paid#304 of 431

Median peer was paid$79K

This provider vs. median0.1×

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
2019	100	$3K
2020	41	$789.96
2021	250	$7K
2022	38	$858.20

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1208	Topical application of fluoride, excluding varnish	31%	179	175	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	104	102	$2K
D1120	Dental cleaning, childProphylaxis - child	14%	37	37	$2K
D0150	Comprehensive oral evaluation - new or established patient	14%	30	30	$2K
D1110	Prophylaxis - adult	12%	46	45	$1K
D0274	Bitewings - four radiographic images	8.4%	33	32	$997.44

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.

From NPPES

Who's on the registration

Authorized officialMCLEAN, JACKQUELINE (OWNER)

Parent organizationJACKQUELINE MCLEAN DDS LLC