Jolly, Bradley

Jolly, Bradley was paid $24K by Medicaid between Feb 2018 and Sep 2020, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.

33Billing provider infoJOLLY, BRADLEY
BRENTWOOD, TN 37027

33aNPI1518956044assigned 10/18/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$24K

24GClaims905

24DCodes billed5

24AFirst – last monthFeb 2018 – Sep 2020

Compared with peers

Next to other General Practice Dentistry providers in Tennessee

Rank by total paid#253 of 336

Median peer was paid$123K

This provider vs. median0.2×

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	319	$8K
2019	260	$7K
2020	326	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	37%	220	216	$9K
D1208	Topical application of fluoride, excluding varnish	28%	348	340	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	284	279	$7K
D1120	Dental cleaning, childProphylaxis - child	4.0%	29	29	$955.64
D0330	Panoramic radiographic image	3.8%	24	24	$920.38

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.