Jolley, Tyler

Jolley, Tyler was paid $51K by Medicaid between Sep 2019 and Oct 2019, across 5 billing codes. Its largest line is D8090, — 74% of everything it billed.

33Billing provider infoJOLLEY, TYLER
GRAND JUNCTION, CO 81506

33aNPI1588763528assigned 09/22/2006

33bProvider typePeriodontist

28Total paid$51K

24GClaims201

24DCodes billed5

24AFirst – last monthSep 2019 – Oct 2019

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	201	$51K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D8090		74%	14	14	$38K
D8660		13%	47	47	$6K
D0340		5.9%	52	52	$3K
D0330	Panoramic radiographic image	3.8%	37	37	$2K
D0350		3.1%	51	51	$2K

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.