Dental
Donald, Jarred
Donald, Jarred was paid $79K by Medicaid between Nov 2020 and Mar 2023, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 31% of everything it billed.
33Billing provider infoDONALD, JARRED
CISCO, TX 76437
CISCO, TX 76437
33aNPI1912018185assigned 08/31/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$79K
24GClaims3,509
24DCodes billed16
24AFirst – last monthNov 2020 – Mar 2023
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#1,171 of 2,774
Median peer was paid$43K
This provider vs. median1.9×
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 | 203 | $6K | |
| 2021 | 2,880 | $68K | |
| 2022 | 303 | $4K | |
| 2023 | 123 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 31% | 320 | 130 | $25K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 356 | 351 | $9K |
| D1110 | Prophylaxis - adult | 9.2% | 149 | 149 | $7K |
| D0274 | Bitewings - four radiographic images | 7.8% | 212 | 208 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.8% | 191 | 185 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 6.4% | 389 | 382 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 6.3% | 519 | 503 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.7% | 189 | 169 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 467 | 452 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | 4.4% | 26 | 26 | $3K |
| D0272 | Bitewings - two radiographic images | 2.0% | 90 | 86 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 31 | 30 | $1K |
4 more codes
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.