Fellows, Jacqueline

Fellows, Jacqueline was paid $8K by Medicaid between Feb 2018 and Dec 2022, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 44% of everything it billed.

33Billing provider infoFELLOWS, JACQUELINE
BRATTLEBORO, VT 05301

33aNPI1750317368assigned 06/24/2006

33bProvider typeDentist

28Total paid$8K

24GClaims304

24DCodes billed4

24AFirst – last monthFeb 2018 – Dec 2022

Compared with peers

Next to other Dentist providers in Vermont

Rank by total paid#34 of 47

Median peer was paid$48K

This provider vs. median0.2×

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	41	$802.00
2019	67	$1K
2020	59	$1K
2021	56	$2K
2022	81	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	44%	139	135	$3K
D1110	Prophylaxis - adult	31%	56	52	$2K
D1206	Topical application of fluoride varnish	21%	97	91	$2K
D1120	Dental cleaning, childProphylaxis - child	4.9%	12	12	$374.00

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.