Dental
Jasper Dental Emporium
Jasper Dental Emporium was paid $1.80M by Medicaid between Nov 2020 and Dec 2024, across 23 billing codes. Its largest line is D1351, Sealant - per tooth — 22% of everything it billed.
33Billing provider infoJASPER DENTAL EMPORIUM
BROOKELAND, TX 75931
BROOKELAND, TX 75931
33aNPI1659708055assigned 09/30/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$1.80M
24GClaims66,752
24DCodes billed23
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#197 of 2,774
Median peer was paid$43K
This provider vs. median42×
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 | |
|---|---|---|---|
| 2020 | 869 | $24K | |
| 2021 | 18,237 | $533K | |
| 2022 | 22,741 | $584K | |
| 2023 | 12,311 | $346K | |
| 2024incomplete | 12,594 | $317K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 22% | 15,884 | 3,539 | $403K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.7% | 5,170 | 4,933 | $175K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.1% | 5,461 | 5,219 | $146K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.6% | 1,077 | 498 | $138K |
| D1110 | Prophylaxis - adult | 7.3% | 2,622 | 2,507 | $132K |
| D0145 | Oral evaluation for a patient under three years of age | 6.3% | 892 | 845 | $115K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.9% | 1,198 | 732 | $107K |
| D0210 | Intraoral - complete series of radiographic images | 5.4% | 1,527 | 1,433 | $97K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 6,171 | 5,837 | $82K |
| D0274 | Bitewings - four radiographic images | 4.2% | 2,366 | 2,270 | $76K |
| D0272 | Bitewings - two radiographic images | 4.2% | 3,480 | 3,323 | $76K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 2,584 | 2,365 | $62K |
11 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 1,923 | $61K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.2% | 596 | $40K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 2,938 | $34K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.3% | 2,254 | $24K |
| D1206 | Topical application of fluoride varnish | 1.3% | 1,580 | $23K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 110 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 93 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 43 | $694.86 |
| D0330 | Panoramic radiographic image | <1% | 18 | $510.24 |
| D0603 | 0% | 8,752 | $0.00 | |
| D0601 | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialSEALE, JOHN (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Southern Oaks Dental Clinic | Beaumont, TX | $1.04M |
| Seale TX4 INC. | Port Arthur, TX | $78K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.