Dental
Jackson, Courtney
Jackson, Courtney was paid $232.30 by Medicaid between Jan 2020 and Jan 2020, across 1 billing code. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoJACKSON, COURTNEY
MILWAUKEE, WI 53227
MILWAUKEE, WI 53227
33aNPI1598149577assigned 07/19/2015
33bProvider typeEndodontist
28Total paid$232.30
24GClaims23
24DCodes billed1
24AFirst – last monthJan 2020 – Jan 2020
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 | |
|---|---|---|---|
| 2020 | 23 | $232.30 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 23 | 13 | $232.30 |
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.