Dental
Lilly, Jason
Lilly, Jason was paid $211K by Medicaid between Dec 2023 and Nov 2024, across 7 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 41% of everything it billed.
33Billing provider infoLILLY, JASON
CLARKSVILLE, TN 37043
CLARKSVILLE, TN 37043
33aNPI1912226895assigned 05/18/2010
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$211K
24GClaims1,882
24DCodes billed7
24AFirst – last monthDec 2023 – Nov 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Tennessee
Rank by total paid#35 of 58
Median peer was paid$274K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2023 | 65 | $7K | |
| 2024incomplete | 1,817 | $204K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 41% | 582 | 164 | $86K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 27% | 410 | 230 | $57K |
| D9222 | 15% | 232 | 230 | $32K | |
| D0330 | Panoramic radiographic image | 8.3% | 239 | 238 | $18K |
| D9610 | 4.6% | 231 | 229 | $10K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 132 | 131 | $6K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 56 | 56 | $3K |
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.