Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Jones, M

Jones, M was paid $41K by Medicaid between May 2023 and Dec 2023, across 16 billing codes. Its largest line is D1351, Sealant - per tooth — 20% of everything it billed.

33Billing provider infoJONES, M
PROVIDENCE, RI 02906
33aNPI1578867636assigned 01/04/2011
33bProvider typeDentist
28Total paid$41K
24GClaims4,188
24DCodes billed16
24AFirst – last monthMay 2023 – Dec 2023
Compared with peers

Next to other Dentist providers in Rhode Island

Rank by total paid#65 of 93
Median peer was paid$115K
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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20234,188$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1351 Sealant - per tooth 20% 960 160 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 15% 138 67 $6K
D1120 Dental cleaning, childProphylaxis - child 10% 290 236 $4K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.3% 316 263 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 7.6% 107 51 $3K
D0274 Bitewings - four radiographic images 5.7% 181 145 $2K
D1110 Prophylaxis - adult 5.7% 124 95 $2K
D0220 Intraoral - periapical first radiographic image 4.5% 358 312 $2K
D0272 Bitewings - two radiographic images 4.1% 181 148 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.9% 164 126 $2K
D0230 Intraoral - periapical each additional radiographic image 3.6% 319 272 $1K
D1206 Topical application of fluoride varnish 3.5% 281 204 $1K
4 more codes
D0150 Comprehensive oral evaluation - new or established patient 3.0% 113 $1K
D1208 Topical application of fluoride, excluding varnish 2.7% 160 $1K
D0330 Panoramic radiographic image 1.4% 81 $556.78
D0603 0% 415 $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.