Dental
Jensen, Matthew
Jensen, Matthew was paid $421K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoJENSEN, MATTHEW
SURPRISE, AZ 85374
SURPRISE, AZ 85374
33aNPI1982703427assigned 09/21/2006
33bProvider typePediatric Dentist
28Total paid$421K
24GClaims54,194
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Arizona
Rank by total paid#39 of 223
Median peer was paid$24K
This provider vs. median18×
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 | 5,329 | $78.00 | |
| 2019 | 6,478 | $0.00 | |
| 2020 | 6,180 | $26K | |
| 2021 | 11,062 | $82K | |
| 2022 | 13,085 | $142K | |
| 2023 | 7,625 | $90K | |
| 2024incomplete | 4,435 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 7,306 | 7,061 | $95K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 5,461 | 5,256 | $52K |
| D1206 | Topical application of fluoride varnish | 12% | 7,914 | 7,623 | $51K |
| D0272 | Bitewings - two radiographic images | 8.1% | 5,600 | 5,395 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.6% | 2,582 | 1,094 | $28K |
| D0220 | Intraoral - periapical first radiographic image | 5.8% | 4,720 | 4,512 | $25K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.8% | 845 | 379 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 2,429 | 2,350 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.1% | 4,102 | 3,731 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.1% | 1,110 | 597 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 2.9% | 710 | 376 | $12K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.9% | 534 | 221 | $12K |
10 more codes
| D1351 | Sealant - per tooth | 2.8% | 2,882 | $12K |
| D0330 | Panoramic radiographic image | 2.0% | 1,206 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.7% | 2,184 | $7K |
| D0274 | Bitewings - four radiographic images | 1.0% | 830 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 500 | $4K |
| D1110 | Prophylaxis - adult | <1% | 398 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 273 | $683.16 |
| D0603 | 0% | 2,368 | $0.00 | |
| D0602 | 0% | 195 | $0.00 | |
| D0601 | 0% | 45 | $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.