Gray, Jordan

Gray, Jordan was paid $20K by Medicaid between Mar 2018 and Sep 2022, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.

33Billing provider infoGRAY, JORDAN
RUTLAND, VT 05701

33aNPI1548613086assigned 07/20/2016

33bProvider typeDentist

28Total paid$20K

24GClaims815

24DCodes billed6

24AFirst – last monthMar 2018 – Sep 2022

Compared with peers

Next to other Dentist providers in Vermont

Rank by total paid#29 of 47

Median peer was paid$48K

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
2018	332	$9K
2019	468	$11K
2022	15	$406.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	37%	212	204	$8K
D1206	Topical application of fluoride varnish	29%	269	258	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	224	214	$6K
D0272	Bitewings - two radiographic images	4.0%	27	27	$822.63
D0220	Intraoral - periapical first radiographic image	<1%	18	14	$188.34
D0603		<1%	65	65	$0.03

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.