Dental
Jones, Ethan
Jones, Ethan was paid $761.55 by Medicaid between May 2020 and Jul 2020, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 68% of everything it billed.
33Billing provider infoJONES, ETHAN
GALAX, VA 24333
GALAX, VA 24333
33aNPI1497858872assigned 09/07/2006
33bProvider typeEndodontist
28Total paid$761.55
24GClaims37
24DCodes billed2
24AFirst – last monthMay 2020 – Jul 2020
Compared with peers
Next to other Endodontist providers in Virginia
Rank by total paid#35 of 38
Median peer was paid$69K
This provider vs. median0.0×
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 | 37 | $761.55 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 68% | 25 | 25 | $519.75 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 12 | 12 | $241.80 |
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.