Ellis, Jonathan

Ellis, Jonathan was paid $1K by Medicaid between Aug 2021 and May 2022, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 52% of everything it billed.

33Billing provider infoELLIS, JONATHAN
HOPEWELL, VA 23860

33aNPI1740389451assigned 09/21/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$1K

24GClaims60

24DCodes billed2

24AFirst – last monthAug 2021 – May 2022

Compared with peers

Next to other General Practice Dentistry providers in Virginia

Rank by total paid#445 of 549

Median peer was paid$29K

This provider vs. median0.0×

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
2021	34	$695.98
2022	26	$532.86

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	52%	31	31	$644.49
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	48%	29	29	$584.35

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.