Dental
DR Brandon Jackson Pediatric Dental PLLC
DR Brandon Jackson Pediatric Dental PLLC was paid $98K by Medicaid between Aug 2023 and Dec 2024, across 14 billing codes. Its largest line is D1351, Sealant - per tooth — 24% of everything it billed.
33Billing provider infoDR BRANDON JACKSON PEDIATRIC DENTAL PLLC
STATEN ISLAND, NY 10310
STATEN ISLAND, NY 10310
33aNPI1629789722assigned 12/09/2022
33bProvider typePediatric Dentist
28Total paid$98K
24GClaims4,352
24DCodes billed14
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#305 of 514
Median peer was paid$196K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2023 | 663 | $14K | |
| 2024incomplete | 3,689 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 24% | 734 | 195 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 392 | 225 | $20K |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 574 | 574 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.2% | 380 | 380 | $8K |
| D0272 | Bitewings - two radiographic images | 6.2% | 510 | 510 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 4.4% | 395 | 395 | $4K |
| D1206 | Topical application of fluoride varnish | 4.3% | 197 | 197 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 424 | 422 | $4K |
| D0330 | Panoramic radiographic image | 3.4% | 117 | 117 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.0% | 145 | 145 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.8% | 351 | 350 | $2K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.4% | 19 | 14 | $1K |
2 more codes
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.
From NPPES
Who's on the registration
Authorized officialJACKSON, BRANDON (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Brandon Jackson, P T | Las Vegas, NV | $1.35M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.