Dental
Jackie Dong DDS INC.
Jackie Dong DDS INC. was paid $1.38M by Medicaid between Jul 2023 and Dec 2024, across 25 billing codes. Its largest line is D1110, Prophylaxis - adult — 12% of everything it billed.
33Billing provider infoJACKIE DONG DDS INC.
OAKLAND, CA 94601
OAKLAND, CA 94601
33aNPI1649963273assigned 05/30/2023
33bProvider typeDentist
28Total paid$1.38M
24GClaims27,972
24DCodes billed25
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Dentist providers in California
Rank by total paid#392 of 2,314
Median peer was paid$185K
This provider vs. median7.4×
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 | 3,247 | $153K | |
| 2024incomplete | 24,725 | $1.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 12% | 1,840 | 1,838 | $162K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 2,368 | 857 | $158K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 2,352 | 2,348 | $154K |
| D2335 | 11% | 1,287 | 466 | $151K | |
| D4341 | 9.0% | 1,762 | 462 | $123K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.5% | 775 | 441 | $90K |
| D0210 | Intraoral - complete series of radiographic images | 6.4% | 1,859 | 1,857 | $89K |
| D2740 | Crown - porcelain/ceramic | 5.7% | 164 | 98 | $78K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.3% | 739 | 411 | $59K |
| D0350 | 3.1% | 4,604 | 1,198 | $43K | |
| D4910 | 2.8% | 501 | 500 | $38K | |
| D9430 | 2.7% | 1,150 | 1,074 | $37K |
13 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 661 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 2,292 | $34K |
| D2330 | 2.0% | 356 | $28K | |
| D1120 | Dental cleaning, child | 1.7% | 444 | $23K |
| D1351 | Sealant - per tooth | <1% | 303 | $11K |
| D4342 | <1% | 267 | $11K | |
| D0330 | Panoramic radiographic image | <1% | 380 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,604 | $10K |
| D0120 | Dental checkup, returning patient | <1% | 230 | $9K |
| D0274 | Bitewings - four radiographic images | <1% | 438 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 145 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 438 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 13 | $156.00 |
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.
From NPPES
Who's on the registration
Authorized officialDONG, JACKIE (CEO)