Paul, Jaby

Paul, Jaby was paid $11K by Medicaid between Apr 2018 and Jul 2018, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.

33Billing provider infoPAUL, JABY
SOUTHGATE, MI 48195

33aNPI1750637732assigned 07/27/2012

33bProvider typeDentist

28Total paid$11K

24GClaims443

24DCodes billed6

24AFirst – last monthApr 2018 – Jul 2018

Compared with peers

Next to other Dentist providers in Michigan

Rank by total paid#568 of 1,033

Median peer was paid$15K

This provider vs. median0.7×

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
2018	443	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	29%	77	77	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	101	100	$3K
D1208	Topical application of fluoride, excluding varnish	21%	99	99	$2K
D0220	Intraoral - periapical first radiographic image	12%	77	77	$1K
D1110	Prophylaxis - adult	6.3%	13	13	$679.00
D0230	Intraoral - periapical each additional radiographic image	6.0%	76	76	$651.00

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.