Jordan Landing Pediatrics

Jordan Landing Pediatrics was paid $278.72 by Medicaid between Jul 2023 and Jul 2023, across 1 billing code. Its largest line is D1206, Topical application of fluoride varnish — 100% of everything it billed.

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
2023	13	$278.72

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	100%	13	13	$278.72

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 officialJOHANSEN, R (DOCTOR)