Dental
Jacobs, Kimberly
Jacobs, Kimberly was paid $931.00 by Medicaid between Sep 2019 and Sep 2019, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 57% of everything it billed.
33Billing provider infoJACOBS, KIMBERLY
POTTSTOWN, PA 19464
POTTSTOWN, PA 19464
33aNPI1265886238assigned 04/15/2016
33bProvider typePediatric Dentist
28Total paid$931.00
24GClaims25
24DCodes billed2
24AFirst – last monthSep 2019 – Sep 2019
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#228 of 237
Median peer was paid$109K
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 | |
|---|---|---|---|
| 2019 | 25 | $931.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 57% | 12 | 12 | $528.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 43% | 13 | 13 | $403.00 |
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.