Dental
Holmes, Jessica
Holmes, Jessica was paid $770K by Medicaid between Jan 2018 and Sep 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoHOLMES, JESSICA
DUMFRIES, VA 22026
DUMFRIES, VA 22026
33aNPI1578878856assigned 08/11/2010
33bProvider typeDentist
28Total paid$770K
24GClaims39,243
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#43 of 417
Median peer was paid$34K
This provider vs. median23×
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 | 751 | $20K | |
| 2022 | 15,162 | $470K | |
| 2023 | 14,429 | $280K | |
| 2024incomplete | 8,901 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 5,123 | 5,093 | $120K |
| D1206 | Topical application of fluoride varnish | 12% | 6,552 | 6,511 | $96K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,395 | 871 | $88K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 5,538 | 5,507 | $78K |
| D1110 | Prophylaxis - adult | 6.7% | 1,523 | 1,513 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.1% | 1,005 | 655 | $47K |
| D9994 | 4.9% | 6,463 | 6,421 | $37K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.8% | 1,624 | 1,562 | $37K |
| D0272 | Bitewings - two radiographic images | 4.1% | 2,227 | 2,214 | $31K |
| D1351 | Sealant - per tooth | 3.3% | 1,203 | 470 | $26K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 496 | 330 | $24K |
| D9920 | 3.1% | 503 | 495 | $24K |
10 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.5% | 342 | $19K |
| D0330 | Panoramic radiographic image | 2.3% | 482 | $18K |
| D0274 | Bitewings - four radiographic images | 2.3% | 906 | $18K |
| D0240 | 2.1% | 1,738 | $16K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 491 | $12K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 513 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 435 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 567 | $5K |
| D9248 | <1% | 103 | $4K | |
| D9310 | <1% | 14 | $1K |
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.