Dental
Nic Jorge Dental, LLC
Nic Jorge Dental, LLC was paid $6K by Medicaid between Aug 2024 and Nov 2024, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.
33Billing provider infoNIC JORGE DENTAL, LLC
ELLICOTT CITY, MD 21043
ELLICOTT CITY, MD 21043
33aNPI1821832569assigned 06/19/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$6K
24GClaims179
24DCodes billed5
24AFirst – last monthAug 2024 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Maryland
Rank by total paid#465 of 598
Median peer was paid$42K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 179 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 36% | 68 | 68 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 29 | 29 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 21% | 53 | 53 | $1K |
| D1110 | Prophylaxis - adult | 20% | 17 | 17 | $1K |
| D1330 | 1.5% | 12 | 12 | $86.40 |
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 officialJORGE, NICOLAS (DENTIST)