Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MT › Missoula › NPI 1801237920
Dental

Nelson, Jonathan

Nelson, Jonathan was paid $316K by Medicaid between Jan 2018 and Dec 2022, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.

33Billing provider infoNELSON, JONATHAN
MISSOULA, MT 59801
33aNPI1801237920assigned 07/17/2013
33bProvider typeDentist
28Total paid$316K
24GClaims8,804
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers

Next to other Dentist providers in Montana

Rank by total paid#13 of 95
Median peer was paid$38K
This provider vs. median8.2×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20183,302$129K
20192,027$70K
20201,421$54K
20211,319$42K
2022735$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 23% 1,485 1,421 $72K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 15% 377 252 $46K
D1206 Topical application of fluoride varnish 14% 2,370 2,288 $45K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 14% 1,859 1,812 $43K
D4910 13% 639 626 $42K
D0274 Bitewings - four radiographic images 9.9% 953 933 $31K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.7% 228 148 $15K
D0150 Comprehensive oral evaluation - new or established patient 2.3% 226 216 $7K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.8% 34 28 $6K
D0230 Intraoral - periapical each additional radiographic image 1.0% 418 112 $3K
D0330 Panoramic radiographic image <1% 41 40 $2K
D0210 Intraoral - complete series of radiographic images <1% 31 29 $2K
3 more codes
D1320 <1% 15 $534.52
D0602 <1% 116 $214.57
D0601 <1% 12 $31.23

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.