Dental
FCD of Jackson, PLLC
FCD of Jackson, PLLC was paid $984K by Medicaid between Jan 2018 and Jun 2021, across 23 billing codes. Its largest line is D2150, Silver amalgam - two surfaces, primary or permanent — 19% of everything it billed.
33Billing provider infoFCD OF JACKSON, PLLC
JACKSON, TN 38301
JACKSON, TN 38301
33aNPI1568538965assigned 11/28/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$984K
24GClaims29,129
24DCodes billed23
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#45 of 336
Median peer was paid$123K
This provider vs. median8.0×
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 | 9,753 | $325K | |
| 2019 | 9,369 | $316K | |
| 2020 | 6,441 | $210K | |
| 2021 | 3,566 | $133K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 19% | 2,683 | 1,150 | $190K |
| D1110 | Prophylaxis - adult | 10% | 2,435 | 2,405 | $101K |
| D2140 | 10% | 1,694 | 835 | $99K | |
| D1208 | Topical application of fluoride, excluding varnish | 9.1% | 4,453 | 4,414 | $90K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 3,565 | 3,524 | $84K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.3% | 2,439 | 2,414 | $81K |
| D0274 | Bitewings - four radiographic images | 7.2% | 2,715 | 2,685 | $71K |
| D0330 | Panoramic radiographic image | 4.9% | 1,345 | 1,333 | $49K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.4% | 1,576 | 1,562 | $43K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.2% | 609 | 277 | $41K |
| D2950 | 2.7% | 217 | 155 | $26K | |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 2,428 | 2,050 | $25K |
11 more codes
| D2160 | 1.9% | 223 | $18K | |
| D0272 | Bitewings - two radiographic images | 1.8% | 992 | $17K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 544 | $12K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.0% | 19 | $10K |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 18 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 83 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 804 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 134 | $4K |
| D1351 | Sealant - per tooth | <1% | 77 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $1K |
| D1999 | 0% | 60 | $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 officialPATEL, MINISH (DOCTOR/OWNER)