Dental
Bentoski, Jessica
Bentoski, Jessica was paid $2.07M by Medicaid between Jan 2018 and Jan 2023, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 22% of everything it billed.
33Billing provider infoBENTOSKI, JESSICA
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
33aNPI1982921631assigned 04/21/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$2.07M
24GClaims44,029
24DCodes billed23
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#40 of 1,554
Median peer was paid$15K
This provider vs. median142×
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 | 7,894 | $428K | |
| 2019 | 7,936 | $366K | |
| 2020 | 7,382 | $309K | |
| 2021 | 9,637 | $427K | |
| 2022 | 10,388 | $497K | |
| 2023 | 792 | $40K |
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 | 22% | 3,842 | 2,269 | $454K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 8,237 | 8,236 | $327K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 7,020 | 7,017 | $225K |
| D1206 | Topical application of fluoride varnish | 11% | 8,131 | 8,129 | $219K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.9% | 976 | 754 | $184K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.0% | 1,851 | 1,187 | $165K |
| D7140 | Extraction, erupted tooth or exposed root | 4.7% | 1,185 | 800 | $98K |
| D0272 | Bitewings - two radiographic images | 3.8% | 3,217 | 3,217 | $79K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.8% | 622 | 482 | $78K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.1% | 442 | 389 | $64K |
| D1351 | Sealant - per tooth | 2.1% | 1,372 | 434 | $43K |
| D9310 | 1.6% | 472 | 472 | $33K |
11 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 1,742 | $32K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 234 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,281 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 238 | $14K |
| D0191 | <1% | 304 | $5K | |
| D0274 | Bitewings - four radiographic images | <1% | 70 | $3K |
| D9248 | <1% | 42 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 46 | $2K |
| D0330 | Panoramic radiographic image | <1% | 28 | $2K |
| D2330 | <1% | 22 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 2,655 | $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.