Grissom, Jason

Grissom, Jason was paid $20K by Medicaid between Jan 2018 and Oct 2020, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.

33Billing provider infoGRISSOM, JASON
MADISON, MS 39110

33aNPI1699921957assigned 08/18/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$20K

24GClaims953

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other General Practice Dentistry providers in Mississippi

Rank by total paid#265 of 379

Median peer was paid$78K

This provider vs. median0.3×

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	614	$12K
2019	146	$4K
2020	193	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	40%	340	298	$8K
D0150	Comprehensive oral evaluation - new or established patient	36%	261	210	$7K
D1208	Topical application of fluoride, excluding varnish	20%	318	275	$4K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.9%	34	33	$778.28

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.