Dental
Depew, Jennifer
Depew, Jennifer was paid $158K by Medicaid between Mar 2022 and Aug 2022, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.
33Billing provider infoDEPEW, JENNIFER
LAKELAND, FL 33803
LAKELAND, FL 33803
33aNPI1679551154assigned 01/05/2006
33bProvider typePediatric Dentist
28Total paid$158K
24GClaims6,496
24DCodes billed19
24AFirst – last monthMar 2022 – Aug 2022
Compared with peers
Next to other Pediatric Dentist providers in Florida
Rank by total paid#109 of 246
Median peer was paid$107K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2022 | 6,496 | $158K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 784 | 752 | $38K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 19% | 188 | 73 | $30K |
| D0210 | Intraoral - complete series of radiographic images | 18% | 203 | 190 | $29K |
| D1110 | Prophylaxis - adult | 16% | 285 | 273 | $25K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.1% | 110 | 71 | $13K |
| D9248 | 4.0% | 135 | 127 | $6K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.9% | 139 | 132 | $6K |
| D1351 | Sealant - per tooth | 3.8% | 797 | 174 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 84 | 49 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 32 | 28 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 567 | 542 | $358.50 |
| D0240 | <1% | 658 | 341 | $85.62 |
7 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 99 | $37.47 |
| D0272 | Bitewings - two radiographic images | <1% | 489 | $16.06 |
| D0274 | Bitewings - four radiographic images | 0% | 104 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 170 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 801 | $0.00 |
| D1330 | 0% | 837 | $0.00 | |
| D3120 | 0% | 14 | $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.