Dental
Setlock, Jason
Setlock, Jason was paid $13K by Medicaid between Sep 2022 and Dec 2022, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.
33Billing provider infoSETLOCK, JASON
BUFFALO, NY 14216
BUFFALO, NY 14216
33aNPI1699808709assigned 03/14/2007
33bProvider typeEndodontist
28Total paid$13K
24GClaims645
24DCodes billed7
24AFirst – last monthSep 2022 – Dec 2022
Compared with peers
Next to other Endodontist providers in New York
Rank by total paid#25 of 44
Median peer was paid$21K
This provider vs. median0.6×
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 | 645 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 32% | 96 | 96 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 99 | 99 | $3K |
| D1206 | Topical application of fluoride varnish | 18% | 108 | 108 | $2K |
| D0272 | Bitewings - two radiographic images | 10% | 56 | 56 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 9.9% | 88 | 88 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.1% | 90 | 86 | $1K |
| D1330 | 0% | 108 | 108 | $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.