Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

RSVM Jackson PLLC

RSVM Jackson PLLC was paid $1.14M by Medicaid between Apr 2021 and Dec 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.

33Billing provider infoRSVM JACKSON PLLC
SAN MARCOS, TX 78666
33aNPI1720602923assigned 06/03/2020
28Total paid$1.14M
24GClaims35,829
24DCodes billed18
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Texas

Rank by total paid#287 of 2,774
Median peer was paid$43K
This provider vs. median27×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ABTAHI, NINA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20215,300$196K
20229,448$313K
202311,446$350K
2024incomplete9,635$276K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21% 2,429 1,046 $238K
D1351 Sealant - per tooth 16% 6,868 1,346 $181K
D2391 Resin-based composite - one surface, posterior, primary or permanent 11% 1,560 865 $119K
D0145 Oral evaluation for a patient under three years of age 10% 818 817 $114K
D1120 Dental cleaning, childProphylaxis - child 6.0% 1,954 1,945 $68K
D0210 Intraoral - complete series of radiographic images 5.7% 948 944 $65K
D0230 Intraoral - periapical each additional radiographic image 5.1% 5,209 2,023 $58K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.3% 1,764 1,747 $49K
D0150 Comprehensive oral evaluation - new or established patient 4.0% 1,329 1,320 $46K
D1110 Prophylaxis - adult 4.0% 887 881 $46K
D1208 Topical application of fluoride, excluding varnish 3.7% 2,981 2,961 $41K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 3.4% 1,495 1,346 $39K
6 more codes
D0274 Bitewings - four radiographic images 2.5% 959 $28K
D0220 Intraoral - periapical first radiographic image 2.3% 2,156 $26K
D7240 Removal of impacted tooth - completely bony 1.1% 60 $12K
D0272 Bitewings - two radiographic images <1% 147 $3K
D9248 <1% 16 $1K
D0603 0% 4,249 $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.

From NPPES

Who's on the registration

Authorized officialABTAHI, NINA (MANGER)
Same official

Other billing entities under ABTAHI, NINA

Full network →
ProviderLocationPaid
VMD RSVJR PLLCHouston, TX$6.39M
Luna Commerce PLLCSan Antonio, TX$5.94M
Yarbrough RSVZ PLLCEl Paso, TX$5.05M
Woodlawn RSVH PLLCSan Antonio, TX$4.36M
Research RSVS PLLCAustin, TX$3.31M
Aventura DentalSan Antonio, TX$3.27M
Nursery Rsva PLLCIrving, TX$3.12M
Forest RSVJR PLLCHouston, TX$2.71M
Nfry Katy PLLCKaty, TX$2.56M
Frontage RSVS PLLCAustin, TX$2.53M
Zaragoza RSVZ PLLCEl Paso, TX$2.43M
Alameda RSVKH PLLCCorpus Christi, TX$2.33M
Lake June SRGM PLLCDallas, TX$2.26M
Westmorland SRGP PLLCDallas, TX$2.03M
Eastchase Mighty PLLCFort Worth, TX$1.42M
Santa Maria RSVJR PLLCHouston, TX$1.12M
Buckner Rsvglc PLLCDallas, TX$1.12M
Broadmoor SRG PLLCMesquite, TX$1.06M
Hildebrand RSVM PLLCSan Antonio, TX$901K
Preston Rsvi PLLCDallas, TX$893K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.