Dental
Jasmine R Elmore DDS PLLC
Jasmine R Elmore DDS PLLC was paid $6.29M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoJASMINE R ELMORE DDS PLLC
WILSON, NC 27893
WILSON, NC 27893
33aNPI1508307539assigned 03/09/2017
33bProvider typePediatric Dentist
28Total paid$6.29M
24GClaims187,920
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in North Carolina
Rank by total paid#20 of 195
Median peer was paid$776K
This provider vs. median8.1×
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 | |
|---|---|---|---|
| 2018 | 26,516 | $849K | |
| 2019 | 28,762 | $986K | |
| 2020 | 23,783 | $733K | |
| 2021 | 28,408 | $939K | |
| 2022 | 26,318 | $894K | |
| 2023 | 28,401 | $1.00M | |
| 2024incomplete | 25,732 | $889K |
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 | 15% | 8,688 | 5,254 | $921K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 24,369 | 23,471 | $657K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 24,101 | 23,336 | $624K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.6% | 3,479 | 973 | $479K |
| D1206 | Topical application of fluoride varnish | 7.3% | 28,592 | 27,526 | $456K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.0% | 5,581 | 3,477 | $441K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.4% | 9,249 | 8,261 | $405K |
| D1351 | Sealant - per tooth | 4.5% | 10,616 | 3,185 | $286K |
| D0240 | 4.0% | 15,701 | 7,872 | $250K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 4,815 | 4,538 | $204K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 3,258 | 1,791 | $203K |
| D0160 | 3.1% | 2,886 | 2,735 | $193K |
19 more codes
| D1110 | Prophylaxis - adult | 2.9% | 4,769 | $182K |
| D0272 | Bitewings - two radiographic images | 2.8% | 10,148 | $177K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 11,067 | $165K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 1,083 | $139K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.9% | 10,217 | $120K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 3,263 | $119K |
| D0330 | Panoramic radiographic image | 1.7% | 1,869 | $109K |
| D0274 | Bitewings - four radiographic images | 1.0% | 2,050 | $64K |
| D9420 | <1% | 304 | $31K | |
| D1510 | <1% | 122 | $23K | |
| D2330 | <1% | 298 | $18K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 128 | $10K |
| D0170 | <1% | 289 | $8K | |
| D1354 | <1% | 661 | $4K | |
| D7111 | <1% | 33 | $2K | |
| D2331 | <1% | 21 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 98 | $1K |
| D0270 | <1% | 30 | $132.05 | |
| D1999 | 0% | 135 | $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 officialELMORE, JASMINE (OWNER/DENTIST)