Jacobson, Eric

Jacobson, Eric was paid $267K by Medicaid between Nov 2020 and Jul 2022, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.

33Billing provider infoJACOBSON, ERIC
GEORGETOWN, KY 40324

33aNPI1205284098assigned 06/02/2016

33bProvider typeDentist

28Total paid$267K

24GClaims8,169

24DCodes billed17

24AFirst – last monthNov 2020 – Jul 2022

Compared with peers

Next to other Dentist providers in Kentucky

Rank by total paid#114 of 350

Median peer was paid$95K

This provider vs. median2.8×

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
2020	543	$11K
2021	5,094	$175K
2022	2,532	$80K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	20%	1,013	1,001	$53K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	16%	649	333	$43K
D2930	Prefabricated stainless steel crown - primary tooth	14%	330	134	$37K
D0150	Comprehensive oral evaluation - new or established patient	9.1%	881	860	$24K
D7140	Extraction, erupted tooth or exposed root	8.7%	532	229	$23K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	5.4%	413	341	$15K
D1208	Topical application of fluoride, excluding varnish	5.4%	985	974	$14K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.5%	215	140	$12K
D0272	Bitewings - two radiographic images	3.9%	583	574	$10K
D1351	Sealant - per tooth	3.0%	407	159	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	2.9%	355	353	$8K
D0220	Intraoral - periapical first radiographic image	2.7%	774	749	$7K

5 more codes

D0330	Panoramic radiographic image	2.4%	172	$6K
D0230	Intraoral - periapical each additional radiographic image	1.8%	790	$5K
D0274	Bitewings - four radiographic images	<1%	45	$823.55
D9248		<1%	13	$507.00
D0145	Oral evaluation for a patient under three years of age	<1%	12	$314.75

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.