Jaques, Susan

Jaques, Susan was paid $85K by Medicaid between Jan 2018 and Aug 2019, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.

33Billing provider infoJAQUES, SUSAN
HOLLY HILL, SC 29059

33aNPI1568575363assigned 08/16/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$85K

24GClaims3,284

24DCodes billed11

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other General Practice Dentistry providers in South Carolina

Rank by total paid#161 of 331

Median peer was paid$75K

This provider vs. median1.1×

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	1,996	$52K
2019	1,288	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	30%	538	538	$26K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	20%	782	782	$17K
D1120	Dental cleaning, childProphylaxis - child	14%	359	359	$12K
D1206	Topical application of fluoride varnish	13%	720	720	$11K
D0272	Bitewings - two radiographic images	13%	586	586	$11K
D0274	Bitewings - four radiographic images	2.6%	88	88	$2K
D0210	Intraoral - complete series of radiographic images	2.1%	39	39	$2K
D1351	Sealant - per tooth	1.7%	48	12	$1K
D0220	Intraoral - periapical first radiographic image	1.2%	83	81	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	27	24	$845.00
D0150	Comprehensive oral evaluation - new or established patient	<1%	14	14	$512.90

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.