Jefferies, Ngandu

Jefferies, Ngandu was paid $39K by Medicaid between Jan 2018 and Sep 2018, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.

33Billing provider infoJEFFERIES, NGANDU
ENDICOTT, NY 13760

33aNPI1821386053assigned 07/21/2011

33bProvider typePediatric Dentist

28Total paid$39K

24GClaims1,517

24DCodes billed10

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#372 of 514

Median peer was paid$196K

This provider vs. median0.2×

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

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	1,517	$39K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	30%	311	310	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	273	273	$7K
D1206	Topical application of fluoride varnish	14%	189	189	$5K
D0230	Intraoral - periapical each additional radiographic image	12%	182	181	$5K
D0220	Intraoral - periapical first radiographic image	7.7%	258	255	$3K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	6.7%	50	50	$3K
D1208	Topical application of fluoride, excluding varnish	4.9%	148	146	$2K
D0150	Comprehensive oral evaluation - new or established patient	4.6%	66	65	$2K
D0330	Panoramic radiographic image	1.4%	14	14	$550.75
D0272	Bitewings - two radiographic images	1.1%	26	26	$446.95

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.