Dental
Buenjemia, Jessica
Buenjemia, Jessica was paid $2K by Medicaid between Sep 2020 and Nov 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 42% of everything it billed.
33Billing provider infoBUENJEMIA, JESSICA
NORTH BEND, OR 97459
NORTH BEND, OR 97459
33aNPI1710967336assigned 01/19/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims599
24DCodes billed8
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#206 of 311
Median peer was paid$6K
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 | |
|---|---|---|---|
| 2020 | 12 | $120.00 | |
| 2021 | 227 | $2K | |
| 2022 | 165 | $0.00 | |
| 2024incomplete | 195 | $118.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 42% | 182 | 182 | $760.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 22 | 22 | $418.00 |
| D1206 | Topical application of fluoride varnish | 16% | 110 | 110 | $285.00 |
| D0272 | Bitewings - two radiographic images | 7.8% | 14 | 14 | $140.00 |
| D0220 | Intraoral - periapical first radiographic image | 6.5% | 118 | 116 | $117.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 4.5% | 85 | 70 | $81.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 28 | 28 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 40 | 13 | $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.