Dental
JS Pedodontics PLLC
JS Pedodontics PLLC was paid $360K by Medicaid between Dec 2020 and Dec 2024, across 21 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 17% of everything it billed.
33Billing provider infoJS PEDODONTICS PLLC
PLANO, TX 75025
PLANO, TX 75025
33aNPI1497280408assigned 04/27/2017
33bProvider typePediatric Dentist
28Total paid$360K
24GClaims15,496
24DCodes billed21
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#304 of 693
Median peer was paid$252K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2020 | 184 | $3K | |
| 2021 | 3,173 | $100K | |
| 2022 | 4,233 | $102K | |
| 2023 | 4,170 | $82K | |
| 2024incomplete | 3,736 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 695 | 279 | $61K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,485 | 1,325 | $44K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 317 | 88 | $42K |
| D1351 | Sealant - per tooth | 10% | 1,683 | 338 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.7% | 1,451 | 1,296 | $35K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6.4% | 305 | 83 | $23K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.0% | 933 | 761 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 4.7% | 1,768 | 1,571 | $17K |
| D0145 | Oral evaluation for a patient under three years of age | 4.7% | 127 | 122 | $17K |
| D0272 | Bitewings - two radiographic images | 4.5% | 904 | 812 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 1,703 | 1,416 | $15K |
| D1206 | Topical application of fluoride varnish | 3.2% | 1,000 | 870 | $12K |
9 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 675 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 146 | $4K |
| D0274 | Bitewings - four radiographic images | 1.0% | 166 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 31 | $1K |
| D1110 | Prophylaxis - adult | <1% | 18 | $439.04 |
| D0330 | Panoramic radiographic image | <1% | 29 | $280.68 |
| D0601 | 0% | 380 | $0.00 | |
| D0603 | 0% | 1,648 | $0.00 | |
| D0602 | 0% | 32 | $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.
From NPPES
Who's on the registration
Authorized officialSMITH, JONATHAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| The Center for Family Wellness | Little Falls, NJ | $2.57M |
| Blue Ridge Regional Hospital INC | Spruce Pine, NC | $770K |
| Pittsford Volunteer Ambulance INC | Pittsford, NY | $468K |
| Lawrence-Douglas County Health Dept | Lawrence, KS | $157K |
| Applied Orthotics and Prosthetics | Los Gatos, CA | $57K |
| The Wellness Collaborative | Virginia Beach, VA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.