Dental
Yi, Jessica
Yi, Jessica was paid $180K by Medicaid between Nov 2020 and Jun 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoYI, JESSICA
ALPHARETTA, GA 30022
ALPHARETTA, GA 30022
33aNPI1699269522assigned 06/14/2018
33bProvider typePediatric Dentist
28Total paid$180K
24GClaims4,641
24DCodes billed7
24AFirst – last monthNov 2020 – Jun 2024
Compared with peers
Next to other Pediatric Dentist providers in Georgia
Rank by total paid#14 of 38
Median peer was paid$58K
This provider vs. median3.1×
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 | 66 | $3K | |
| 2021 | 1,287 | $52K | |
| 2022 | 1,122 | $45K | |
| 2023 | 1,414 | $57K | |
| 2024incomplete | 752 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 1,444 | 1,395 | $74K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 32% | 1,393 | 1,344 | $57K |
| D1206 | Topical application of fluoride varnish | 24% | 1,519 | 1,471 | $43K |
| D0272 | Bitewings - two radiographic images | 2.2% | 174 | 164 | $4K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 85 | 79 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $648.00 |
| D1110 | Prophylaxis - adult | <1% | 14 | 13 | $513.00 |
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.