Dental
Jeong, Jackson
Jeong, Jackson was paid $97K by Medicaid between Jun 2018 and Nov 2024, across 13 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.
33Billing provider infoJEONG, JACKSON
TEANECK, NJ 07666
TEANECK, NJ 07666
33aNPI1992225791assigned 06/22/2017
33bProvider typePediatric Dentist
28Total paid$97K
24GClaims5,485
24DCodes billed13
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in New Jersey
Rank by total paid#123 of 190
Median peer was paid$275K
This provider vs. median0.4×
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 | 25 | $308.08 | |
| 2021 | 344 | $9K | |
| 2022 | 1,649 | $29K | |
| 2023 | 1,795 | $32K | |
| 2024incomplete | 1,672 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 37% | 841 | 839 | $36K |
| D1206 | Topical application of fluoride varnish | 27% | 876 | 872 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 799 | 792 | $20K |
| D0272 | Bitewings - two radiographic images | 5.1% | 498 | 496 | $5K |
| D0603 | 4.7% | 722 | 715 | $5K | |
| D1351 | Sealant - per tooth | 2.9% | 140 | 26 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 79 | 79 | $720.60 |
| D1110 | Prophylaxis - adult | <1% | 12 | 12 | $540.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | 12 | $187.50 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 25 | 25 | $106.18 |
| D1330 | 0% | 742 | 722 | $0.00 | |
| D1310 | 0% | 726 | 708 | $0.00 |
1 more codes
| D1999 | 0% | 13 | $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.