Dental
Rose, Jerrick
Rose, Jerrick was paid $4.62M by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 18% of everything it billed.
33Billing provider infoROSE, JERRICK
JACKSON, MS 39216
JACKSON, MS 39216
33aNPI1801150958assigned 07/03/2012
33bProvider typeDentist
28Total paid$4.62M
24GClaims196,033
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Mississippi
Rank by total paid#3 of 261
Median peer was paid$64K
This provider vs. median72×
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 | 44,958 | $750K | |
| 2019 | 42,780 | $817K | |
| 2020 | 28,574 | $730K | |
| 2021 | 17,269 | $492K | |
| 2022 | 23,044 | $551K | |
| 2023 | 17,504 | $542K | |
| 2024incomplete | 21,904 | $740K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 18% | 7,783 | 1,003 | $825K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 6,096 | 2,305 | $500K |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 8,158 | 2,112 | $497K |
| D1351 | Sealant - per tooth | 9.5% | 19,985 | 3,242 | $441K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.5% | 21,646 | 14,984 | $437K |
| D1206 | Topical application of fluoride varnish | 6.0% | 15,065 | 10,792 | $278K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 14,743 | 9,161 | $271K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.8% | 48,806 | 7,006 | $220K |
| D0210 | Intraoral - complete series of radiographic images | 4.2% | 4,559 | 3,357 | $194K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.9% | 7,294 | 5,886 | $179K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 2,459 | 1,023 | $150K |
| D0140 | Limited oral evaluation - problem focused | 3.1% | 4,526 | 3,411 | $144K |
18 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 4,505 | $92K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 10,486 | $89K |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 6,608 | $58K |
| D0272 | Bitewings - two radiographic images | 1.3% | 5,098 | $58K |
| D0330 | Panoramic radiographic image | 1.1% | 2,766 | $53K |
| D0274 | Bitewings - four radiographic images | 1.0% | 3,095 | $48K |
| D1516 | <1% | 124 | $29K | |
| D1515 | <1% | 139 | $19K | |
| D1517 | <1% | 59 | $12K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 189 | $11K |
| D9310 | <1% | 193 | $6K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 126 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 26 | $3K |
| D1110 | Prophylaxis - adult | <1% | 278 | $2K |
| D1999 | 0% | 93 | $0.00 | |
| D1310 | 0% | 909 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 66 | $0.00 |
| D1330 | 0% | 153 | $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.