Dental
Woods, Jackie
Woods, Jackie was paid $79K by Medicaid between Jan 2018 and Aug 2024, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoWOODS, JACKIE
TYLERTOWN, MS 39667
TYLERTOWN, MS 39667
33aNPI1831249929assigned 01/11/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$79K
24GClaims3,370
24DCodes billed10
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other General Practice Dentistry providers in Mississippi
Rank by total paid#187 of 379
Median peer was paid$78K
This provider vs. median1.0×
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 | 1,616 | $26K | |
| 2019 | 644 | $21K | |
| 2020 | 529 | $14K | |
| 2021 | 263 | $7K | |
| 2022 | 102 | $3K | |
| 2023 | 134 | $5K | |
| 2024incomplete | 82 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 1,103 | 913 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 23% | 597 | 431 | $18K |
| D0330 | Panoramic radiographic image | 14% | 402 | 261 | $11K |
| D1206 | Topical application of fluoride varnish | 13% | 528 | 394 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.3% | 154 | 152 | $4K |
| D0274 | Bitewings - four radiographic images | 3.8% | 148 | 109 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 171 | 145 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 38 | 36 | $1K |
| D0272 | Bitewings - two radiographic images | 1.2% | 114 | 64 | $980.78 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 115 | 64 | $601.16 |
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.