Dental
Jackson Metro Dental LLC
Jackson Metro Dental LLC was paid $99K by Medicaid between Sep 2018 and Nov 2024, across 12 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 36% of everything it billed.
33Billing provider infoJACKSON METRO DENTAL LLC
LEXINGTON, MS 39095
LEXINGTON, MS 39095
33aNPI1801277207assigned 06/11/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$99K
24GClaims3,665
24DCodes billed12
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#176 of 379
Median peer was paid$78K
This provider vs. median1.3×
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 | 268 | $9K | |
| 2019 | 796 | $14K | |
| 2020 | 452 | $11K | |
| 2021 | 741 | $25K | |
| 2022 | 650 | $22K | |
| 2023 | 303 | $7K | |
| 2024incomplete | 455 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 36% | 1,040 | 876 | $36K |
| D0330 | Panoramic radiographic image | 17% | 451 | 366 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 561 | 474 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 469 | 383 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 5.3% | 547 | 474 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 5.2% | 345 | 311 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 5.0% | 74 | 43 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 24 | 12 | $2K |
| D0274 | Bitewings - four radiographic images | 1.6% | 74 | 56 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 33 | 33 | $737.80 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 15 | 15 | $471.30 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 32 | 12 | $207.45 |
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 officialPOLLES, JIM (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Metro Dental INC | Jackson, MS | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.