Dental
Payne, Jackson
Payne, Jackson was paid $287K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.
33Billing provider infoPAYNE, JACKSON
MEMPHIS, TN 38115
MEMPHIS, TN 38115
33aNPI1881777670assigned 10/23/2006
33bProvider typeDentist
28Total paid$287K
24GClaims8,213
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Tennessee
Rank by total paid#90 of 242
Median peer was paid$164K
This provider vs. median1.7×
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 | 1,255 | $48K | |
| 2019 | 1,535 | $50K | |
| 2020 | 860 | $27K | |
| 2021 | 806 | $23K | |
| 2022 | 1,192 | $41K | |
| 2023 | 1,509 | $59K | |
| 2024incomplete | 1,056 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17% | 1,118 | 1,100 | $48K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 1,275 | 1,243 | $42K |
| D0210 | Intraoral - complete series of radiographic images | 14% | 667 | 651 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,624 | 1,577 | $39K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 1,771 | 1,726 | $36K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.2% | 296 | 100 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.3% | 310 | 102 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 457 | 445 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 4.6% | 235 | 69 | $13K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.3% | 86 | 27 | $7K |
| D1351 | Sealant - per tooth | 1.5% | 146 | 31 | $4K |
| D0274 | Bitewings - four radiographic images | 1.3% | 147 | 138 | $4K |
1 more codes
| D1206 | Topical application of fluoride varnish | <1% | 81 | $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.