Dental
Maxwell, Jason
Maxwell, Jason was paid $289.25 by Medicaid between Oct 2018 and Aug 2019, across 2 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 100% of everything it billed.
33Billing provider infoMAXWELL, JASON
ELKHART, IN 46516
ELKHART, IN 46516
33aNPI1861921751assigned 06/05/2017
33bProvider typeDentist
28Total paid$289.25
24GClaims25
24DCodes billed2
24AFirst – last monthOct 2018 – Aug 2019
Compared with peers
Next to other Dentist providers in Indiana
Rank by total paid#421 of 452
Median peer was paid$59K
This provider vs. median0.0×
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 | 12 | $0.00 | |
| 2019 | 13 | $289.25 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 100% | 13 | 13 | $289.25 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 12 | 12 | $0.00 |
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.