Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JLRL, LLC

NPI: 1700029675 · CLEVELAND, MS 38732 · General Practice Dentistry · NPI assigned 04/08/2009

$64K
Total Medicaid Paid
4,176
Total Claims
3,269
Beneficiaries
9
Codes Billed
2018-03
First Month
2023-10
Last Month

Provider Details

Authorized OfficialJENNINGS, JASON (DENTIST/OWNER)
NPI Enumeration Date04/08/2009

Related Entities

Other providers sharing the same authorized official: JENNINGS, JASON

ProviderCityStateTotal Paid
SCOTT & WHITE HOSPITAL - COLLEGE STATION COLLEGE STATION TX $7.93M
SCOTT & WHITE HOSPITAL BRENHAM BRENHAM TX $4.20M
SCOTT & WHITE CLINIC BRENHAM TX $1.73M
SCOTT & WHITE CLINIC BELLVILLE TX $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,286 $11K
2019 1,010 $15K
2020 657 $13K
2021 643 $14K
2022 489 $8K
2023 91 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 1,434 1,126 $25K
D0120 Periodic oral evaluation - established patient 678 570 $13K
D1208 Topical application of fluoride, excluding varnish 1,262 976 $12K
D0150 Comprehensive oral evaluation - new or established patient 708 503 $12K
D0274 Bitewings - four radiographic images 41 41 $832.65
D0330 Panoramic radiographic image 12 12 $687.00
D0140 Limited oral evaluation - problem focused 12 12 $495.51
D1206 Topical application of fluoride varnish 17 17 $406.00
D0272 Bitewings - two radiographic images 12 12 $61.32