Dental
Jackson, Patrick
Jackson, Patrick was paid $46K by Medicaid between May 2018 and Nov 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.
33Billing provider infoJACKSON, PATRICK
TOMS RIVER, NJ 08753
TOMS RIVER, NJ 08753
33aNPI1619062908assigned 10/04/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$46K
24GClaims3,341
24DCodes billed11
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#387 of 790
Median peer was paid$43K
This provider vs. median1.1×
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 | 116 | $694.00 | |
| 2019 | 1,035 | $17K | |
| 2020 | 362 | $6K | |
| 2021 | 85 | $2K | |
| 2022 | 510 | $6K | |
| 2023 | 523 | $6K | |
| 2024incomplete | 710 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 38% | 397 | 397 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 471 | 470 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 1,208 | 1,179 | $5K |
| D0274 | Bitewings - four radiographic images | 7.3% | 288 | 288 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.2% | 818 | 807 | $3K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 39 | 39 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.5% | 26 | 26 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 39 | 39 | $975.00 |
| D0330 | Panoramic radiographic image | 1.2% | 14 | 14 | $560.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | 12 | $300.00 |
| D0272 | Bitewings - two radiographic images | <1% | 29 | 29 | $290.00 |
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.