Dental
Jon A. Hendrickson, DDS INC.
Jon A. Hendrickson, DDS INC. was paid $16K by Medicaid between Jan 2018 and Aug 2019, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 48% of everything it billed.
33Billing provider infoJON A. HENDRICKSON, DDS INC.
TRAFALGAR, IN 46181
TRAFALGAR, IN 46181
33aNPI1528228368assigned 06/16/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$16K
24GClaims1,064
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#480 of 723
Median peer was paid$60K
This provider vs. median0.3×
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 | 773 | $7K | |
| 2019 | 291 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 48% | 282 | 274 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 392 | 381 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 272 | 264 | $2K |
| D0274 | Bitewings - four radiographic images | 5.8% | 43 | 41 | $903.76 |
| D1120 | Dental cleaning, childProphylaxis - child | 4.9% | 63 | 63 | $759.00 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $49.62 |
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 officialHENDRICKSON, JON (OWNER/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Partners PA | Fort Smith, AR | $1.72M |
| Jon Hendrickson DDS INC | Trafalgar, IN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.