Dental
Tall, Jacob
Tall, Jacob was paid $384.84 by Medicaid between Jan 2023 and Apr 2024, across 3 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 100% of everything it billed.
33Billing provider infoTALL, JACOB
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1265056121assigned 06/05/2020
33bProvider typeDentist
28Total paid$384.84
24GClaims151
24DCodes billed3
24AFirst – last monthJan 2023 – Apr 2024
Compared with peers
Next to other Dentist providers in Idaho
Rank by total paid#77 of 89
Median peer was paid$16K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 95 | $384.84 | |
| 2024incomplete | 56 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 100% | 25 | 25 | $384.84 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 88 | 88 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 38 | 38 | $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.