Dental
Faris, Jonathan
Faris, Jonathan was paid $726.00 by Medicaid between Aug 2024 and Sep 2024, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 71% of everything it billed.
33Billing provider infoFARIS, JONATHAN
FOREST GROVE, OR 97116
FOREST GROVE, OR 97116
33aNPI1750010732assigned 06/06/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$726.00
24GClaims24
24DCodes billed2
24AFirst – last monthAug 2024 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Oregon
Rank by total paid#235 of 311
Median peer was paid$6K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 24 | $726.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 71% | 12 | 12 | $517.00 |
| D1206 | Topical application of fluoride varnish | 29% | 12 | 12 | $209.00 |
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.