Dental
DO, Jacquelyn
DO, Jacquelyn was paid $170K by Medicaid between Nov 2020 and Nov 2024, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 21% of everything it billed.
33Billing provider infoDO, JACQUELYN
PEARLAND, TX 77581
PEARLAND, TX 77581
33aNPI1902938046assigned 03/12/2007
33bProvider typeDentist
28Total paid$170K
24GClaims8,207
24DCodes billed12
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#532 of 1,678
Median peer was paid$35K
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2020 | 381 | $6K | |
| 2021 | 2,385 | $47K | |
| 2022 | 2,084 | $47K | |
| 2023 | 1,944 | $43K | |
| 2024incomplete | 1,413 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 1,227 | 1,227 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 284 | 100 | $29K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 686 | 686 | $25K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,291 | 1,291 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.5% | 1,418 | 1,005 | $16K |
| D1110 | Prophylaxis - adult | 8.4% | 262 | 262 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 7.9% | 1,069 | 1,066 | $13K |
| D0272 | Bitewings - two radiographic images | 4.7% | 342 | 342 | $8K |
| D0274 | Bitewings - four radiographic images | 2.0% | 101 | 101 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.0% | 124 | 111 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 44 | 44 | $3K |
| D0602 | 0% | 1,359 | 1,359 | $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.