Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › WILMINGTON › JACOB R. LONG, DDS, PLLC

JACOB R. LONG, DDS, PLLC

NPI: 1093294076 · WILMINGTON, NC 28401 · Dental Clinic/Center · NPI assigned 08/09/2018

$4K
Total Medicaid Paid
157
Total Claims
142
Beneficiaries
2
Codes Billed
2018-10
First Month
2019-10
Last Month

Provider Details

Authorized OfficialLONG, JACOB (DENTIST/OWNER)
NPI Enumeration Date08/09/2018

Related Entities

Other providers sharing the same authorized official: LONG, JACOB

ProviderCityStateTotal Paid
CLUB NOVA COMMUNITY, INC CARRBORO NC $2.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 66 $2K
2019 91 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 95 86 $2K
D1110 Prophylaxis - adult 62 56 $2K