Brown, Jerry

Brown, Jerry was paid $3K by Medicaid between Feb 2018 and Nov 2018, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 43% of everything it billed.

33Billing provider infoBROWN, JERRY
COLVILLE, WA 99114

33aNPI1780609040assigned 07/13/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$3K

24GClaims228

24DCodes billed5

24AFirst – last monthFeb 2018 – Nov 2018

Compared with peers

Next to other General Practice Dentistry providers in Washington

Rank by total paid#214 of 319

Median peer was paid$22K

This provider vs. median0.1×

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	228	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	43%	90	90	$1K
D1208	Topical application of fluoride, excluding varnish	21%	80	80	$597.74
D1120	Dental cleaning, childProphylaxis - child	15%	28	28	$436.62
D1110	Prophylaxis - adult	15%	16	16	$433.79
D0274	Bitewings - four radiographic images	6.5%	14	14	$188.64

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.