Dental
Page, Jacqueline
Page, Jacqueline was paid $40K by Medicaid between Sep 2024 and Dec 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoPAGE, JACQUELINE
RIPON, WI 54971
RIPON, WI 54971
33aNPI1841811429assigned 05/05/2020
33bProvider typeDental Hygienist
28Total paid$40K
24GClaims1,811
24DCodes billed6
24AFirst – last monthSep 2024 – Dec 2024
Compared with peers
Next to other Dental Hygienist providers in Wisconsin
Rank by total paid#62 of 141
Median peer was paid$28K
This provider vs. median1.4×
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 | 1,811 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 338 | 338 | $10K |
| D1206 | Topical application of fluoride varnish | 24% | 535 | 534 | $10K |
| D0191 | 19% | 488 | 488 | $7K | |
| D1110 | Prophylaxis - adult | 15% | 147 | 147 | $6K |
| D1351 | Sealant - per tooth | 14% | 234 | 117 | $6K |
| D1354 | 1.7% | 69 | 34 | $691.38 |
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.