Dental
JMJ Practice Holdings, LLC
JMJ Practice Holdings, LLC was paid $1.09M by Medicaid between Sep 2022 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoJMJ PRACTICE HOLDINGS, LLC
NAMPA, ID 83686
NAMPA, ID 83686
33aNPI1548905250assigned 04/28/2022
33bProvider typePediatric Dentist
28Total paid$1.09M
24GClaims49,400
24DCodes billed21
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#17 of 53
Median peer was paid$394K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2022 | 5,011 | $98K | |
| 2023 | 23,746 | $523K | |
| 2024incomplete | 20,643 | $470K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 6,722 | 6,686 | $357K |
| D1110 | Prophylaxis - adult | 18% | 2,341 | 2,339 | $195K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 2,258 | 1,393 | $190K |
| D0330 | Panoramic radiographic image | 8.4% | 1,250 | 1,238 | $92K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.9% | 2,074 | 2,057 | $87K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.4% | 654 | 459 | $37K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.8% | 253 | 82 | $31K |
| D0210 | Intraoral - complete series of radiographic images | 2.4% | 181 | 181 | $26K |
| D1351 | Sealant - per tooth | 2.0% | 7,270 | 1,313 | $22K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 309 | 203 | $14K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 6,389 | 6,359 | $11K |
| D0274 | Bitewings - four radiographic images | <1% | 2,094 | 2,088 | $8K |
9 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 289 | $8K |
| D0272 | Bitewings - two radiographic images | <1% | 5,163 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 8,192 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 2,299 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 370 | $908.88 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 733 | $616.15 |
| D0240 | <1% | 449 | $99.85 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 93 | $90.00 |
| D9986 | 0% | 17 | $0.00 |
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 officialWIETH, CASSANDRA (DIRECTOR OF PAYOR RELATIONS)
| Provider | Location | Paid |
|---|---|---|
| Sdcaz LLC | Phoenix, AZ | $969K |
| Nicholas Raklios, DDS, PLLC | Renton, WA | $171K |
| JMJ Practice Holdings, LLC | Nampa, ID | $73K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.