Jayme, Annelee

Jayme, Annelee was paid $85K by Medicaid between Jun 2018 and Dec 2021, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.

33Billing provider infoJAYME, ANNELEE
BURKESVILLE, KY 42717

33aNPI1639153034assigned 11/30/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$85K

24GClaims4,099

24DCodes billed12

24AFirst – last monthJun 2018 – Dec 2021

Compared with peers

Next to other General Practice Dentistry providers in Kentucky

Rank by total paid#249 of 462

Median peer was paid$106K

This provider vs. median0.8×

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	928	$21K
2019	1,103	$27K
2020	520	$8K
2021	1,548	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	19%	435	410	$16K
D0150	Comprehensive oral evaluation - new or established patient	19%	745	713	$16K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	262	135	$14K
D1110	Prophylaxis - adult	10%	241	236	$9K
D1208	Topical application of fluoride, excluding varnish	9.2%	646	617	$8K
D0274	Bitewings - four radiographic images	7.9%	299	293	$7K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.1%	110	63	$4K
D0230	Intraoral - periapical each additional radiographic image	4.8%	791	289	$4K
D0220	Intraoral - periapical first radiographic image	3.5%	407	393	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.2%	99	97	$2K
D0330	Panoramic radiographic image	2.1%	52	52	$2K
D0210	Intraoral - complete series of radiographic images	<1%	12	12	$637.00

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.