Dental
Jacobson Dental Corp
Jacobson Dental Corp was paid $4.97M by Medicaid between May 2021 and Oct 2024, across 26 billing codes. Its largest line is D0120, dental checkup, returning patient — 18% of everything it billed.
33Billing provider infoJACOBSON DENTAL CORP
VALLEJO, CA 94591
VALLEJO, CA 94591
33aNPI1033741061assigned 02/07/2020
33bProvider typeOrthodontics and Dentofacial Orthopedic Dentist
28Total paid$4.97M
24GClaims189,744
24DCodes billed26
24AFirst – last monthMay 2021 – Oct 2024
Compared with peers
Next to other Orthodontics and Dentofacial Orthopedic Dentist providers in California
Rank by total paid#27 of 251
Median peer was paid$303K
This provider vs. median16×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JACOBSON, JEFFREY controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 29,004 | $575K | |
| 2022 | 51,681 | $1.35M | |
| 2023 | 63,720 | $1.72M | |
| 2024incomplete | 45,339 | $1.33M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 12,058 | 11,966 | $882K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 17,859 | 17,728 | $858K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 17,471 | 17,335 | $324K |
| D1310 | 6.0% | 6,843 | 6,775 | $297K | |
| D0350 | 5.6% | 31,895 | 10,508 | $281K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.4% | 2,258 | 1,193 | $267K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 3,921 | 3,894 | $264K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.3% | 4,015 | 2,953 | $263K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 51,131 | 14,749 | $207K |
| D1351 | Sealant - per tooth | 4.0% | 5,432 | 1,506 | $201K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.4% | 4,229 | 3,891 | $168K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 2,705 | 1,835 | $152K |
14 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.0% | 2,806 | $149K |
| D0145 | Oral evaluation for a patient under three years of age | 2.7% | 1,909 | $136K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 2.2% | 1,124 | $110K |
| D0274 | Bitewings - four radiographic images | 2.1% | 4,910 | $103K |
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 6,350 | $75K |
| D0603 | 1.1% | 3,835 | $55K | |
| D9430 | 1.1% | 1,706 | $55K | |
| D0272 | Bitewings - two radiographic images | <1% | 4,216 | $49K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | <1% | 68 | $18K |
| D0602 | <1% | 1,215 | $17K | |
| D0601 | <1% | 1,154 | $16K | |
| D0330 | Panoramic radiographic image | <1% | 536 | $15K |
| D9222 | <1% | 40 | $5K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 58 | $5K |
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.
From NPPES
Who's on the registration
Authorized officialJACOBSON, JEFFREY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Jacobson Dental Corp | Vacaville, CA | $30.79M |
| Jacobson Dental Corp | San Francisco, CA | $27.92M |
| Jacobson Dental Corp | Yuba City, CA | $26.91M |
| Jacobson Dental Corp | Sacramento, CA | $16.54M |
| Jacobson Dental Corp | Chico, CA | $12.73M |
| Jacobson Dental Corp | Oxnard, CA | $9.82M |
| Jacobson Dental Corp | Bakersfield, CA | $9.79M |
| Jacobson Dental Corp | Lincoln, CA | $9.02M |
| Jacobson Dental Corp | Sacramento, CA | $7.30M |
| Jacobson Dental Corp | San Diego, CA | $6.60M |
| Jacobson Dental Corp | Fresno, CA | $6.34M |
| Jacobson Dental Corp | Glendora, CA | $6.00M |
| Jacobson Dental Corp | Antioch, CA | $5.48M |
| Jacobson Dental Corp | Stockton, CA | $4.42M |
| Jacobson Dental Corp | Victorville, CA | $4.34M |
| Jacobson Dental Corp | Lodi, CA | $4.13M |
| Jacobson Dental Corp | Merced, CA | $2.88M |
| Jacobson Dental Corp | Modesto, CA | $2.59M |
| Jacobson Dental Corp | Moreno Valley, CA | $2.53M |
| Jacobson Dental Corp | Visalia, CA | $2.08M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.