Dental
Gross, Jamie
Gross, Jamie was paid $9K by Medicaid between Feb 2021 and May 2024, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 43% of everything it billed.
33Billing provider infoGROSS, JAMIE
SANBORN, IA 51248
SANBORN, IA 51248
33aNPI1538398284assigned 07/02/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$9K
24GClaims378
24DCodes billed4
24AFirst – last monthFeb 2021 – May 2024
Compared with peers
Next to other General Practice Dentistry providers in Iowa
Rank by total paid#277 of 437
Median peer was paid$22K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 314 | $7K | |
| 2022 | 39 | $1K | |
| 2024incomplete | 25 | $555.86 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 43% | 171 | 165 | $4K |
| D1206 | Topical application of fluoride varnish | 34% | 152 | 147 | $3K |
| D1110 | Prophylaxis - adult | 12% | 29 | 29 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 26 | 26 | $957.16 |
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.