Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Gillian Jones (NPI 1831257120)

Field	Value
Entity Type	Individual
Organization	Gillian Jones
Address	200 E Ponce De Leon Ave
City	Decatur
State	GA
ZIP	30030
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	30,430	$30	$852.2K
D2392	Post 2 surface resin‑based composite	7,760	$80	$628.5K
D0120	Periodic oral evaluation - established patient	28,940	$20	$578.8K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	4,290	$120	$506.2K
D0220	Intraoral - periapical first radiographic image	41,970	$10	$461.6K
D0274	N/A	16,570	$30	$447.3K
D0150	Comprehensive oral evaluation – new or established patient	14,960	$30	$418.9K
D0230	Intraoral - periapical each additional radiographic image	42,230	$10	$380.1K
D1208	Topical application of fluoride - excluding varnish	22,090	$20	$331.4K
D2930	N/A	2,100	$150	$308.4K

Showing 1–10 of 45

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Georgia Distribution

Gillian Jones — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	7	10	580	$240	$1M
D2930	N/A	6	40	300	$170	$529.9K
D2934	N/A	7	10	330	$140	$291.4K
D2392	Post 2 surface resin‑based composite	5	80	270	$90	$262.3K
D9243	N/A	3	10	300	$180	$261.9K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	4	20	220	$120	$236.9K
D7230	N/A	3	10	420	$190	$235.3K
D2391	Resin‑based composite – one surface, posterior	3	60	190	$80	$186.8K
D1351	Sealant - per tooth	9	70	580	$30	$176.7K
D3220	N/A	10	20	140	$90	$175.7K

Showing 1–10 of 45

Nearby Providers

Other providers in the same ZIP code as Gillian Jones, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dekalb Community Service Board	GA	Community/Behavioral Health Agency	$0	$38.8M
Dekalb Women's Specialists	GA	Obstetrics & Gynecology Physician	$0	$2.4M
John Thomas	GA	Ophthalmology Physician	$1.3M	$0
Reunited Counseling & Training LLC	GA	Preferred Provider Organization	$0	$1.1M
American Access Care Of Atlanta Asc LLC	GA	Ambulatory Surgical Clinic/Center	$1M	$0
Dekalb County Board Of Health	GA	Public Health or Welfare Agency	$0	$1M
Cheryl Gardner	GA	Professional Counselor	$0	$639.3K
Alliance Recovery Center, Inc.	GA	Methadone Clinic	$325.9K	$276.5K
Eps Surgical Center, LLC	GA	Ambulatory Surgical Clinic/Center	$414.4K	$0
Shalin Shah	GA	Ophthalmology Physician	$326.7K	$0

Gillian Jones — Billing Profile & Reimbursement Data

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Gillian Jones — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References