Dental
Jessamine Family Dentistry PLLC
Jessamine Family Dentistry PLLC was paid $49K by Medicaid between Dec 2018 and May 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoJESSAMINE FAMILY DENTISTRY PLLC
NICHOLASVILLE, KY 40356
NICHOLASVILLE, KY 40356
33aNPI1730605072assigned 08/18/2017
33bProvider typePublic Health Dentist
28Total paid$49K
24GClaims1,795
24DCodes billed10
24AFirst – last monthDec 2018 – May 2024
Compared with peers
Next to other Public Health Dentist providers in Kentucky
Rank by total paid#7 of 9
Median peer was paid$52K
This provider vs. median0.9×
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 | 25 | $405.99 | |
| 2019 | 453 | $11K | |
| 2020 | 347 | $11K | |
| 2021 | 222 | $6K | |
| 2022 | 623 | $18K | |
| 2023 | 73 | $2K | |
| 2024incomplete | 52 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 438 | 419 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 423 | 407 | $8K |
| D0274 | Bitewings - four radiographic images | 13% | 281 | 271 | $7K |
| D0330 | Panoramic radiographic image | 13% | 205 | 186 | $6K |
| D0140 | Limited oral evaluation - problem focused | 8.0% | 146 | 140 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 5.2% | 39 | 12 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.3% | 34 | 16 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 61 | 58 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 86 | 83 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 82 | 80 | $627.76 |
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 officialFERRELL, BRITTANY (DIRECTOR OF OPERATIONS)