Dental
Mitchell, Jonathan
Mitchell, Jonathan was paid $1.66M by Medicaid between Jan 2018 and Dec 2020, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoMITCHELL, JONATHAN
CHERAW, SC 29520
CHERAW, SC 29520
33aNPI1669628483assigned 08/12/2008
33bProvider typeDentist
28Total paid$1.66M
24GClaims50,260
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Dentist providers in South Carolina
Rank by total paid#9 of 166
Median peer was paid$67K
This provider vs. median25×
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 | 15,269 | $491K | |
| 2019 | 18,288 | $622K | |
| 2020 | 16,703 | $548K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 7,945 | 7,945 | $275K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 1,524 | 631 | $192K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 7,791 | 7,791 | $178K |
| D7140 | Extraction, erupted tooth or exposed root | 9.3% | 1,783 | 1,008 | $154K |
| D1206 | Topical application of fluoride varnish | 8.7% | 9,001 | 9,001 | $145K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.5% | 1,118 | 478 | $91K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.1% | 661 | 418 | $68K |
| D9248 | 3.8% | 973 | 963 | $63K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.6% | 1,893 | 1,856 | $61K |
| D1110 | Prophylaxis - adult | 3.6% | 1,205 | 1,205 | $60K |
| D0274 | Bitewings - four radiographic images | 3.3% | 1,989 | 1,989 | $55K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 1,342 | 1,342 | $54K |
13 more codes
| D0330 | Panoramic radiographic image | 3.2% | 1,051 | $52K |
| D1351 | Sealant - per tooth | 3.0% | 1,677 | $50K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 4,435 | $45K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 3,217 | $41K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 783 | $30K |
| D0145 | Oral evaluation for a patient under three years of age | 1.0% | 478 | $17K |
| D0272 | Bitewings - two radiographic images | <1% | 822 | $15K |
| D2940 | <1% | 155 | $7K | |
| D9420 | <1% | 40 | $3K | |
| D1354 | <1% | 312 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 19 | $2K |
| D0240 | <1% | 34 | $625.02 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $601.08 |
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.