Dental
Jamboree Dentistry Vi PLLC
Jamboree Dentistry Vi PLLC was paid $901K by Medicaid between Nov 2020 and Jun 2022, across 27 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 43% of everything it billed.
33Billing provider infoJAMBOREE DENTISTRY VI PLLC
HOUSTON, TX 77074
HOUSTON, TX 77074
33aNPI1790240794assigned 02/04/2019
33bProvider typePublic Health Dentist
28Total paid$901K
24GClaims22,662
24DCodes billed27
24AFirst – last monthNov 2020 – Jun 2022
Compared with peers
Next to other Public Health Dentist providers in Texas
Rank by total paid#4 of 25
Median peer was paid$37K
This provider vs. median25×
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 | |
|---|---|---|---|
| 2020 | 295 | $5K | |
| 2021 | 12,666 | $553K | |
| 2022 | 9,701 | $343K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 43% | 2,702 | 491 | $386K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 14% | 1,556 | 358 | $128K |
| D0145 | Oral evaluation for a patient under three years of age | 7.3% | 504 | 499 | $65K |
| D1351 | Sealant - per tooth | 5.3% | 1,947 | 450 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.0% | 1,384 | 1,348 | $45K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 1,062 | 1,029 | $36K |
| D0220 | Intraoral - periapical first radiographic image | 3.4% | 2,728 | 2,639 | $31K |
| D0272 | Bitewings - two radiographic images | 3.4% | 1,479 | 1,423 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 2,737 | 2,091 | $27K |
| D9248 | 2.1% | 163 | 158 | $19K | |
| D2934 | 2.1% | 135 | 42 | $19K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.8% | 1,203 | 1,168 | $16K |
15 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 623 | $15K |
| D0120 | Dental checkup, returning patient | 1.5% | 495 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 114 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 191 | $3K |
| D0160 | <1% | 118 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 20 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 103 | $1K |
| D1110 | Prophylaxis - adult | <1% | 15 | $748.05 |
| D0274 | Bitewings - four radiographic images | <1% | 20 | $618.78 |
| D2950 | <1% | 14 | $602.00 | |
| D0270 | <1% | 117 | $504.70 | |
| D0170 | <1% | 14 | $198.48 | |
| D0603 | 0% | 3,168 | $0.00 | |
| D9222 | 0% | 16 | $0.00 | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 0% | 34 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialSPIGER, JAMES (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Jamboree Dentistry PLLC | Houston, TX | $4.89M |
| Jamboree Dentistry III PLLC | Houston, TX | $2.06M |
| Jamboree Dentistry IV PLLC | Houston, TX | $1.81M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.