Dental
Zachariah, Jayamole
Zachariah, Jayamole was paid $50K by Medicaid between Oct 2020 and Sep 2021, across 10 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.
33Billing provider infoZACHARIAH, JAYAMOLE
ASHBURN, VA 20147
ASHBURN, VA 20147
33aNPI1801270467assigned 07/14/2015
33bProvider typeDentist
28Total paid$50K
24GClaims1,679
24DCodes billed10
24AFirst – last monthOct 2020 – Sep 2021
Compared with peers
Next to other Dentist providers in Virginia
Rank by total paid#181 of 417
Median peer was paid$34K
This provider vs. median1.5×
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 | 311 | $6K | |
| 2021 | 1,368 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 90 | 56 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 311 | 304 | $6K |
| D1110 | Prophylaxis - adult | 12% | 107 | 104 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 198 | 193 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.9% | 132 | 129 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.6% | 93 | 92 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 8.8% | 301 | 298 | $4K |
| D0274 | Bitewings - four radiographic images | 8.3% | 127 | 125 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 269 | 207 | $3K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 51 | 49 | $2K |
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.