Jackson, Charles

Jackson, Charles was paid $299K by Medicaid between Jan 2018 and Mar 2020, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.

33Billing provider infoJACKSON, CHARLES
JACKSON HEIGHTS, NY 11372

33aNPI1982769840assigned 12/22/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$299K

24GClaims8,614

24DCodes billed10

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#470 of 2,184

Median peer was paid$54K

This provider vs. median5.6×

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	4,005	$153K
2019	4,142	$133K
2020	467	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	27%	1,870	1,849	$82K
D9920		23%	2,414	2,346	$69K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	2,190	2,165	$52K
D9243		13%	164	161	$40K
D1206	Topical application of fluoride varnish	10%	1,047	1,034	$31K
D7140	Extraction, erupted tooth or exposed root	3.5%	209	132	$10K
D0272	Bitewings - two radiographic images	2.5%	545	533	$7K
D9239		1.5%	61	61	$5K
D0330	Panoramic radiographic image	1.0%	90	90	$3K
D0220	Intraoral - periapical first radiographic image	<1%	24	24	$176.00

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.