Dental
Dickson, Jonathan
Dickson, Jonathan was paid $20K by Medicaid between Jan 2018 and Apr 2024, across 8 billing codes. Its largest line is D5110, — 61% of everything it billed.
33Billing provider infoDICKSON, JONATHAN
WENATCHEE, WA 98801
WENATCHEE, WA 98801
33aNPI1629398425assigned 06/03/2010
33bProvider typeDentist
28Total paid$20K
24GClaims356
24DCodes billed8
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Dentist providers in Washington
Rank by total paid#186 of 335
Median peer was paid$30K
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 | 118 | $19K | |
| 2022 | 14 | $515.20 | |
| 2024incomplete | 224 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D5110 | 61% | 33 | 32 | $12K | |
| D5120 | 30% | 15 | 15 | $6K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 70 | 66 | $1K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 103 | 101 | $515.20 |
| D7240 | Removal of impacted tooth - completely bony | 0% | 68 | 22 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 21 | 12 | $0.00 |
| D9243 | 0% | 23 | 21 | $0.00 | |
| D9239 | 0% | 23 | 21 | $0.00 |
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.