Butler-Mitchell, Jacqueline

Butler-Mitchell, Jacqueline was paid $2.90M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.

33Billing provider infoBUTLER-MITCHELL, JACQUELINE
SMYRNA, TN 37167

33aNPI1841289535assigned 10/17/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$2.90M

24GClaims94,745

24DCodes billed25

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in Tennessee

Rank by total paid#14 of 336

Median peer was paid$123K

This provider vs. median24×

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	22,959	$758K
2019	18,684	$576K
2020	11,630	$344K
2021	10,782	$325K
2022	11,184	$332K
2023	11,347	$322K
2024incomplete	8,159	$239K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	15%	12,509	12,334	$420K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	17,123	16,910	$409K
D1206	Topical application of fluoride varnish	11%	15,020	14,779	$309K
D1110	Prophylaxis - adult	11%	7,140	7,005	$307K
D2391	Resin-based composite - one surface, posterior, primary or permanent	9.6%	4,501	2,572	$278K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	8.4%	3,322	2,066	$243K
D1351	Sealant - per tooth	6.8%	6,787	2,434	$196K
D0274	Bitewings - four radiographic images	6.4%	6,898	6,780	$186K
D0330	Panoramic radiographic image	4.3%	2,984	2,930	$123K
D0272	Bitewings - two radiographic images	3.0%	4,841	4,781	$87K
D1208	Topical application of fluoride, excluding varnish	2.5%	3,580	3,544	$72K
D1353		2.2%	2,294	786	$64K

13 more codes

D7140	Extraction, erupted tooth or exposed root	1.8%	852	$51K
D0150	Comprehensive oral evaluation - new or established patient	1.3%	1,393	$39K
D2930	Prefabricated stainless steel crown - primary tooth	1.1%	287	$31K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	<1%	256	$21K
D1354		<1%	3,276	$19K
D0140	Limited oral evaluation - problem focused	<1%	543	$12K
D0220	Intraoral - periapical first radiographic image	<1%	749	$9K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	<1%	71	$6K
D0145	Oral evaluation for a patient under three years of age	<1%	159	$4K
D4355		<1%	41	$3K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	77	$2K
D1510		<1%	13	$2K
D0210	Intraoral - complete series of radiographic images	<1%	29	$2K

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.