Dental
Jeffersonville Commons Dental
Jeffersonville Commons Dental was paid $660K by Medicaid between Jun 2021 and Nov 2024, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoJEFFERSONVILLE COMMONS DENTAL
JEFFERSONVILLE, IN 47130
JEFFERSONVILLE, IN 47130
33aNPI1972124717assigned 05/04/2020
33bProvider typeGeneral Practice Dentistry
28Total paid$660K
24GClaims14,149
24DCodes billed18
24AFirst – last monthJun 2021 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Indiana
Rank by total paid#98 of 723
Median peer was paid$60K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2021 | 2,858 | $123K | |
| 2022 | 5,011 | $226K | |
| 2023 | 3,897 | $191K | |
| 2024incomplete | 2,383 | $120K |
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 | 15% | 1,162 | 688 | $97K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 13% | 826 | 523 | $84K |
| D1110 | Prophylaxis - adult | 12% | 1,614 | 1,524 | $82K |
| D0140 | Limited oral evaluation - problem focused | 12% | 2,119 | 2,014 | $80K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 1,475 | 1,180 | $79K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 1,489 | 1,424 | $37K |
| D0330 | Panoramic radiographic image | 4.8% | 641 | 602 | $31K |
| D0274 | Bitewings - four radiographic images | 4.2% | 826 | 786 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 427 | 255 | $28K |
| D2394 | 3.9% | 217 | 148 | $25K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 635 | 606 | $25K |
| D2335 | 3.2% | 123 | 67 | $21K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 1,367 | $15K |
| D2332 | 1.1% | 66 | $8K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 817 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 63 | $6K |
| D1206 | Topical application of fluoride varnish | <1% | 270 | $6K |
| D1120 | Dental cleaning, child | <1% | 12 | $379.50 |
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 officialFAETH, MICHELLE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| J Mason & Associates | Louisville, KY | $1.20M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.