Dental
Gray, Jennifer
Gray, Jennifer was paid $101K by Medicaid between Sep 2021 and Feb 2022, across 15 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.
33Billing provider infoGRAY, JENNIFER
CHESTERTON, IN 46304
CHESTERTON, IN 46304
33aNPI1811564859assigned 06/08/2021
33bProvider typeDentist
28Total paid$101K
24GClaims4,153
24DCodes billed15
24AFirst – last monthSep 2021 – Feb 2022
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#198 of 452
Median peer was paid$59K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2021 | 3,119 | $70K | |
| 2022 | 1,034 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 485 | 450 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 450 | 422 | $12K |
| D1110 | Prophylaxis - adult | 11% | 290 | 285 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 9.1% | 329 | 301 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.1% | 455 | 415 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.3% | 144 | 120 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 6.5% | 120 | 87 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 262 | 249 | $7K |
| D0274 | Bitewings - four radiographic images | 4.9% | 321 | 304 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 90 | 67 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.1% | 559 | 513 | $3K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 174 | 157 | $3K |
3 more codes
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.