Dental
Dole, Jennifer
Dole, Jennifer was paid $158K by Medicaid between Sep 2021 and Feb 2024, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 34% of everything it billed.
33Billing provider infoDOLE, JENNIFER
PORTLAND, OR 97201
PORTLAND, OR 97201
33aNPI1780064485assigned 06/08/2015
33bProvider typePediatric Dentist
28Total paid$158K
24GClaims6,466
24DCodes billed15
24AFirst – last monthSep 2021 – Feb 2024
Compared with peers
Next to other Pediatric Dentist providers in Oregon
Rank by total paid#71 of 109
Median peer was paid$362K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 780 | $20K | |
| 2022 | 2,799 | $68K | |
| 2023 | 2,718 | $66K | |
| 2024incomplete | 169 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 34% | 1,420 | 1,417 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 1,274 | 1,271 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 944 | 944 | $17K |
| D0272 | Bitewings - two radiographic images | 7.6% | 632 | 631 | $12K |
| D1351 | Sealant - per tooth | 7.0% | 346 | 107 | $11K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.9% | 372 | 343 | $9K |
| D1206 | Topical application of fluoride varnish | 3.5% | 320 | 318 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 66 | 42 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 87 | 87 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 194 | 181 | $2K |
| D1354 | 1.2% | 696 | 227 | $2K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 15 | 12 | $1K |
3 more codes
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.