Dental
Westover, Jerry
Westover, Jerry was paid $9K by Medicaid between Jun 2023 and Apr 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 28% of everything it billed.
33Billing provider infoWESTOVER, JERRY
SAN MARCOS, TX 78666
SAN MARCOS, TX 78666
33aNPI1558774570assigned 06/06/2014
33bProvider typeDentist
28Total paid$9K
24GClaims520
24DCodes billed10
24AFirst – last monthJun 2023 – Apr 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,097 of 1,678
Median peer was paid$35K
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 | |
|---|---|---|---|
| 2023 | 138 | $3K | |
| 2024incomplete | 382 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 94 | 93 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 51 | 50 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 100 | 99 | $1K |
| D0274 | Bitewings - four radiographic images | 8.4% | 24 | 24 | $761.42 |
| D0220 | Intraoral - periapical first radiographic image | 7.2% | 55 | 52 | $653.12 |
| D0272 | Bitewings - two radiographic images | 7.0% | 28 | 28 | $631.26 |
| D1110 | Prophylaxis - adult | 6.1% | 12 | 12 | $548.80 |
| D0230 | Intraoral - periapical each additional radiographic image | 5.9% | 46 | 46 | $529.46 |
| D0240 | 2.6% | 30 | 15 | $235.20 | |
| D0603 | 0% | 80 | 80 | $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.