Dental
Jra Dental, PLLC
Jra Dental, PLLC was paid $228K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 12% of everything it billed.
33Billing provider infoJRA DENTAL, PLLC
PHOENIX, AZ 85053
PHOENIX, AZ 85053
33aNPI1922276724assigned 02/14/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$228K
24GClaims32,996
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#57 of 530
Median peer was paid$920.17
This provider vs. median248×
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 | 6,798 | $50K | |
| 2019 | 7,770 | $62K | |
| 2020 | 8,807 | $61K | |
| 2021 | 7,695 | $34K | |
| 2022 | 623 | $6K | |
| 2023 | 535 | $5K | |
| 2024incomplete | 768 | $10K |
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 | 12% | 1,281 | 637 | $28K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 12% | 793 | 446 | $28K |
| D0274 | Bitewings - four radiographic images | 11% | 3,685 | 3,510 | $25K |
| D0330 | Panoramic radiographic image | 9.8% | 1,979 | 1,838 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 8.3% | 5,635 | 5,203 | $19K |
| D0140 | Limited oral evaluation - problem focused | 7.2% | 1,985 | 1,775 | $16K |
| D1110 | Prophylaxis - adult | 6.5% | 1,487 | 1,448 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.1% | 5,631 | 4,238 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 6.0% | 3,402 | 3,311 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 1,648 | 1,594 | $13K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.9% | 2,539 | 2,478 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 707 | 677 | $9K |
10 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.3% | 384 | $8K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.3% | 24 | $3K |
| D2950 | <1% | 94 | $2K | |
| D0270 | <1% | 308 | $703.91 | |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 16 | $518.00 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 46 | $388.50 |
| D0272 | Bitewings - two radiographic images | <1% | 122 | $302.67 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 14 | $177.40 |
| D4910 | <1% | 15 | $50.00 | |
| D1999 | <1% | 1,201 | $26.00 |
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.
From NPPES
Who's on the registration
Authorized officialARTHURS, JASON (MANAGER)