Mccall, Jack

Mccall, Jack was paid $48K by Medicaid between Jan 2018 and Jul 2020, across 9 billing codes. Its largest line is D0120, dental checkup, returning patient — 41% of everything it billed.

33Billing provider infoMCCALL, JACK
BETHANY, MO 64424

33aNPI1629237763assigned 06/04/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$48K

24GClaims2,222

24DCodes billed9

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#161 of 260

Median peer was paid$78K

This provider vs. median0.6×

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	946	$26K
2019	895	$14K
2020	381	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	41%	932	905	$19K
D1120	Dental cleaning, childProphylaxis - child	25%	681	664	$12K
D1110	Prophylaxis - adult	11%	232	218	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.9%	57	37	$4K
D0150	Comprehensive oral evaluation - new or established patient	5.5%	61	51	$3K
D0272	Bitewings - two radiographic images	3.2%	116	116	$2K
D1206	Topical application of fluoride varnish	2.6%	101	101	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.6%	14	12	$770.00
D0274	Bitewings - four radiographic images	<1%	28	28	$423.00

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.