Dental
Chisholm, Jared
Chisholm, Jared was paid $206K by Medicaid between Jan 2018 and May 2019, across 11 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 29% of everything it billed.
33Billing provider infoCHISHOLM, JARED
GRAND JUNCTION, CO 81505
GRAND JUNCTION, CO 81505
33aNPI1619047578assigned 11/08/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$206K
24GClaims3,228
24DCodes billed11
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#173 of 521
Median peer was paid$53K
This provider vs. median3.9×
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 | 2,018 | $136K | |
| 2019 | 1,210 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 29% | 429 | 235 | $59K |
| D7140 | Extraction, erupted tooth or exposed root | 27% | 574 | 215 | $55K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 10% | 127 | 83 | $21K |
| D1110 | Prophylaxis - adult | 8.2% | 416 | 408 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 322 | 310 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 80 | 51 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.2% | 388 | 382 | $9K |
| D0274 | Bitewings - four radiographic images | 3.9% | 285 | 277 | $8K |
| D0140 | Limited oral evaluation - problem focused | 3.8% | 238 | 224 | $8K |
| D0330 | Panoramic radiographic image | 2.6% | 107 | 101 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 262 | 246 | $3K |
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.