Jack, Garnet

Jack, Garnet was paid $336K by Medicaid between Feb 2018 and Dec 2024, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.

33Billing provider infoJACK, GARNET
LA VERGNE, TN 37086

33aNPI1750719423assigned 10/16/2013

33bProvider typeGeneral Practice Dentistry

28Total paid$336K

24GClaims7,874

24DCodes billed16

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Tennessee

Rank by total paid#121 of 336

Median peer was paid$123K

This provider vs. median2.7×

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	379	$12K
2019	583	$19K
2020	356	$9K
2021	401	$8K
2022	595	$14K
2023	3,609	$188K
2024incomplete	1,951	$86K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	21%	997	494	$71K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	21%	635	166	$71K
D0150	Comprehensive oral evaluation - new or established patient	8.4%	1,076	970	$28K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	8.3%	345	210	$28K
D1110	Prophylaxis - adult	8.2%	724	668	$27K
D0330	Panoramic radiographic image	6.6%	757	692	$22K
D0274	Bitewings - four radiographic images	5.9%	876	811	$20K
D1206	Topical application of fluoride varnish	5.1%	908	845	$17K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.1%	371	201	$17K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.9%	601	560	$13K
D1120	Dental cleaning, childProphylaxis - child	2.5%	317	281	$8K
D7140	Extraction, erupted tooth or exposed root	1.9%	95	12	$6K

4 more codes

D2331		<1%	33	$2K
D1351	Sealant - per tooth	<1%	68	$1K
D0210	Intraoral - complete series of radiographic images	<1%	29	$1K
D0140	Limited oral evaluation - problem focused	<1%	42	$872.44

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.