Jackson, Melody

Jackson, Melody was paid $10K by Medicaid between Aug 2018 and Oct 2023, across 2 billing codes. Its largest line is D1110, Prophylaxis - adult — 84% of everything it billed.

33Billing provider infoJACKSON, MELODY
SPRING VALLEY, CA 91977

33aNPI1861605339assigned 05/08/2007

33bProvider typeDental Hygienist

28Total paid$10K

24GClaims186

24DCodes billed2

24AFirst – last monthAug 2018 – Oct 2023

Compared with peers

Next to other Dental Hygienist providers in California

Rank by total paid#79 of 105

Median peer was paid$72K

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
2018	29	$2K
2019	82	$4K
2021	26	$1K
2022	25	$1K
2023	24	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	84%	93	93	$8K
D1206	Topical application of fluoride varnish	16%	93	93	$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.