Jones, Carlos

Jones, Carlos was paid $753K by Medicaid between Jan 2018 and Feb 2021, across 19 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 38% of everything it billed.

33Billing provider infoJONES, CARLOS
WASHINGTON, DC 20020

33aNPI1710961099assigned 12/01/2005

33bProvider typeDentist

28Total paid$753K

24GClaims9,367

24DCodes billed19

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Dentist providers in District of Columbia

Rank by total paid#11 of 66

Median peer was paid$30K

This provider vs. median25×

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	5,252	$480K
2019	2,299	$168K
2020	1,656	$98K
2021	160	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	38%	1,916	318	$289K
D2394		18%	772	170	$137K
D1110	Prophylaxis - adult	7.8%	956	926	$59K
D0140	Limited oral evaluation - problem focused	6.4%	1,175	990	$48K
D0330	Panoramic radiographic image	6.2%	722	702	$47K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	3.7%	216	75	$27K
D0460		3.4%	979	800	$26K
D2750		2.8%	54	15	$21K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.8%	721	695	$21K
D0150	Comprehensive oral evaluation - new or established patient	2.2%	278	268	$17K
D9110		2.0%	231	217	$15K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	1.9%	96	65	$15K

7 more codes

D1208	Topical application of fluoride, excluding varnish	1.7%	544	$13K
D0274	Bitewings - four radiographic images	1.3%	286	$10K
D0220	Intraoral - periapical first radiographic image	<1%	339	$5K
D4355		<1%	13	$1K
D0470		<1%	43	$696.00
D1120	Dental cleaning, child	<1%	13	$564.00
D0170		<1%	13	$432.00

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.