Dickson, Jerry

Dickson, Jerry was paid $24K by Medicaid between Jul 2018 and Oct 2024, across 7 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 31% of everything it billed.

33Billing provider infoDICKSON, JERRY
CHANDLER, OK 74834

33aNPI1679569537assigned 09/26/2005

33bProvider typeDentist

28Total paid$24K

24GClaims986

24DCodes billed7

24AFirst – last monthJul 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in Oklahoma

Rank by total paid#103 of 150

Median peer was paid$154K

This provider vs. median0.2×

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	13	$183.17
2019	12	$243.96
2020	58	$1K
2021	166	$5K
2022	282	$7K
2023	348	$8K
2024incomplete	107	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	31%	257	257	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	329	329	$7K
D1110	Prophylaxis - adult	14%	78	78	$3K
D1208	Topical application of fluoride, excluding varnish	8.5%	139	139	$2K
D0220	Intraoral - periapical first radiographic image	8.4%	143	142	$2K
D7140	Extraction, erupted tooth or exposed root	7.1%	26	14	$2K
D1120	Dental cleaning, childProphylaxis - child	1.7%	14	14	$426.86

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.