Jackson, Tracy

Jackson, Tracy was paid $211K by Medicaid between Dec 2019 and Dec 2024, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.

33Billing provider infoJACKSON, TRACY
BRADENTON, FL 34208

33aNPI1740203496assigned 07/25/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$211K

24GClaims17,949

24DCodes billed15

24AFirst – last monthDec 2019 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Florida

Rank by total paid#111 of 568

Median peer was paid$24K

This provider vs. median8.7×

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
2019	249	$5K
2020	2,220	$37K
2021	395	$3K
2022	6,402	$84K
2023	5,441	$72K
2024incomplete	3,242	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	31%	1,465	1,396	$65K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	18%	561	296	$37K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	1,825	1,717	$37K
D2391	Resin-based composite - one surface, posterior, primary or permanent	13%	654	348	$27K
D1120	Dental cleaning, childProphylaxis - child	9.3%	632	617	$20K
D0330	Panoramic radiographic image	9.1%	286	283	$19K
D1351	Sealant - per tooth	1.2%	2,800	776	$3K
D0220	Intraoral - periapical first radiographic image	<1%	1,694	1,573	$1K
D0150	Comprehensive oral evaluation - new or established patient	<1%	234	232	$757.39
D1330		<1%	2,259	2,146	$538.80
D0274	Bitewings - four radiographic images	<1%	1,440	1,378	$278.60
D0230	Intraoral - periapical each additional radiographic image	<1%	1,357	1,319	$250.11

3 more codes

D1206	Topical application of fluoride varnish	<1%	1,718	$200.04
D1208	Topical application of fluoride, excluding varnish	<1%	380	$196.20
D0272	Bitewings - two radiographic images	<1%	644	$40.32

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.