Dental
Le, Jonathan
Le, Jonathan was paid $7K by Medicaid between Mar 2023 and Apr 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 54% of everything it billed.
33Billing provider infoLE, JONATHAN
CHERRY HILL, NJ 08034
CHERRY HILL, NJ 08034
33aNPI1972217594assigned 01/09/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$7K
24GClaims295
24DCodes billed6
24AFirst – last monthMar 2023 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#569 of 790
Median peer was paid$43K
This provider vs. median0.2×
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 | 198 | $5K | |
| 2024incomplete | 97 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 54% | 143 | 137 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 20% | 77 | 71 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 19 | 18 | $855.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 10% | 16 | 15 | $675.00 |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 28 | 24 | $105.00 |
| D1206 | Topical application of fluoride varnish | 1.4% | 12 | 12 | $93.75 |
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.