Dental
Jackson, Courtney
Jackson, Courtney was paid $128K by Medicaid between Mar 2019 and Dec 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 69% of everything it billed.
33Billing provider infoJACKSON, COURTNEY
REXBURG, ID 83440
REXBURG, ID 83440
33aNPI1972864825assigned 06/06/2012
33bProvider typePediatric Dentist
28Total paid$128K
24GClaims9,614
24DCodes billed11
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Idaho
Rank by total paid#37 of 53
Median peer was paid$394K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 607 | $10K | |
| 2020 | 1,427 | $20K | |
| 2021 | 1,367 | $14K | |
| 2022 | 1,998 | $23K | |
| 2023 | 2,032 | $25K | |
| 2024incomplete | 2,183 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 69% | 1,377 | 1,364 | $88K |
| D0274 | Bitewings - four radiographic images | 16% | 159 | 159 | $20K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.5% | 1,667 | 1,654 | $10K |
| D1110 | Prophylaxis - adult | 4.0% | 210 | 210 | $5K |
| D0330 | Panoramic radiographic image | 1.9% | 15 | 15 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | 13 | $746.22 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,563 | 1,553 | $574.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,458 | 1,362 | $408.76 |
| D0272 | Bitewings - two radiographic images | <1% | 809 | 799 | $376.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,545 | 1,520 | $210.43 |
| D1351 | Sealant - per tooth | 0% | 798 | 148 | $0.00 |
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.