George Jedlicka DMD, PC

George Jedlicka DMD, PC was paid $113K by Medicaid between Jan 2018 and Dec 2021, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 41% of everything it billed.

33Billing provider infoGEORGE JEDLICKA DMD, PC
SOLDOTNA, AK 99669

33aNPI1760741177assigned 05/07/2012

33bProvider typeGeneral Practice Dentistry

28Total paid$113K

24GClaims2,208

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other General Practice Dentistry providers in Alaska

Rank by total paid#38 of 80

Median peer was paid$63K

This provider vs. median1.8×

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	1,061	$50K
2019	515	$26K
2020	258	$14K
2021	374	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	41%	680	550	$47K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	617	549	$26K
D0274	Bitewings - four radiographic images	17%	390	327	$19K
D1208	Topical application of fluoride, excluding varnish	7.8%	336	313	$9K
D1120	Dental cleaning, childProphylaxis - child	5.7%	116	105	$7K
D0330	Panoramic radiographic image	2.9%	38	34	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.6%	16	12	$3K
D0220	Intraoral - periapical first radiographic image	<1%	15	14	$317.59

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.

From NPPES

Who's on the registration

Authorized officialJEDLICKA, GEORGE (DENTIST)