Marshall, Jordan

Marshall, Jordan was paid $17K by Medicaid between May 2020 and Mar 2021, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider infoMARSHALL, JORDAN
WESTERVILLE, OH 43081

33aNPI1609238344assigned 03/22/2016

33bProvider typeGeneral Practice Dentistry

28Total paid$17K

24GClaims544

24DCodes billed7

24AFirst – last monthMay 2020 – Mar 2021

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#544 of 870

Median peer was paid$40K

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

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	314	$9K
2021	230	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	34%	165	165	$6K
D0330	Panoramic radiographic image	31%	119	118	$5K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	116	116	$2K
D0150	Comprehensive oral evaluation - new or established patient	11%	70	70	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.5%	18	12	$921.78
D0140	Limited oral evaluation - problem focused	3.5%	29	27	$584.08
D0274	Bitewings - four radiographic images	3.2%	27	27	$540.00

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.