Dental
Jackson Pediatric Dentistry PC
Jackson Pediatric Dentistry PC was paid $0.00 by Medicaid between Apr 2019 and Nov 2024, across 21 billing codes. Its largest line is D0230, Intraoral - periapical each additional radiographic image — 0% of everything it billed.
33Billing provider infoJACKSON PEDIATRIC DENTISTRY PC
JACKSON, NJ 08527
JACKSON, NJ 08527
33aNPI1588158539assigned 06/21/2018
33bProvider typePediatric Dentist
28Total paid$0.00
24GClaims103,697
24DCodes billed21
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in New Jersey
Rank by total paid#186 of 190
Median peer was paid$275K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 6,872 | $0.00 | |
| 2020 | 16,929 | $0.00 | |
| 2021 | 24,251 | $0.00 | |
| 2022 | 25,031 | $0.00 | |
| 2023 | 18,445 | $0.00 | |
| 2024incomplete | 12,169 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 5,851 | 5,766 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 3,638 | 2,229 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 16,303 | 16,279 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 908 | 906 | $0.00 |
| D0603 | 0% | 6,909 | 6,901 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 7,363 | 6,259 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 13,257 | 13,235 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 8,057 | 8,039 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 1,212 | 1,211 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 390 | 362 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 131 | 128 | $0.00 |
| D0602 | 0% | 19 | 19 | $0.00 |
9 more codes
| D1120 | Dental cleaning, child | 0% | 13,260 | $0.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 5,257 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 3,397 | $0.00 |
| D1354 | 0% | 5,120 | $0.00 | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 2,016 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 9,942 | $0.00 |
| D2332 | 0% | 129 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 470 | $0.00 |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 68 | $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 officialMIKHLY, JACQUELINE (OWNER)