Dental
Janis, Jordan
Janis, Jordan was paid $0.00 by Medicaid between Jul 2018 and Jun 2019, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 0% of everything it billed.
33Billing provider infoJANIS, JORDAN
COTTONWOOD, AZ 86326
COTTONWOOD, AZ 86326
33aNPI1740630136assigned 06/15/2016
33bProvider typeDentist
28Total paid$0.00
24GClaims424
24DCodes billed5
24AFirst – last monthJul 2018 – Jun 2019
Compared with peers
Next to other Dentist providers in Arizona
Rank by total paid#315 of 468
Median peer was paid$686.85
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 | |
|---|---|---|---|
| 2018 | 338 | $0.00 | |
| 2019 | 86 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 44 | 34 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 48 | 37 | $0.00 |
| D1330 | 0% | 66 | 54 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 0% | 227 | 188 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 39 | 31 | $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.