Dental
Andersen, Jeffery
Andersen, Jeffery was paid $57K by Medicaid between Feb 2018 and Nov 2024, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.
33Billing provider infoANDERSEN, JEFFERY
OVERGAARD, AZ 85933
OVERGAARD, AZ 85933
33aNPI1851481733assigned 10/13/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$57K
24GClaims2,084
24DCodes billed5
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#98 of 530
Median peer was paid$920.17
This provider vs. median62×
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 | 307 | $5K | |
| 2019 | 250 | $5K | |
| 2020 | 281 | $6K | |
| 2021 | 413 | $13K | |
| 2022 | 347 | $8K | |
| 2023 | 178 | $8K | |
| 2024incomplete | 308 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 37% | 656 | 645 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 769 | 753 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 128 | 62 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 506 | 495 | $8K |
| D0272 | Bitewings - two radiographic images | 1.0% | 25 | 25 | $592.78 |
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.