Dental
Jordan, Patrick
Jordan, Patrick was paid $300.00 by Medicaid between May 2020 and May 2020, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoJORDAN, PATRICK
MARYVILLE, MO 64468
MARYVILLE, MO 64468
33aNPI1679709612assigned 06/04/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$300.00
24GClaims12
24DCodes billed1
24AFirst – last monthMay 2020 – May 2020
Compared with peers
Next to other General Practice Dentistry providers in Missouri
Rank by total paid#255 of 260
Median peer was paid$78K
This provider vs. median0.0×
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 | 12 | $300.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 12 | 12 | $300.00 |
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.