Dental
David O. Jacobson DDS PC
David O. Jacobson DDS PC was paid $145K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoDAVID O. JACOBSON DDS PC
GRAND JUNCTION, CO 81501
GRAND JUNCTION, CO 81501
33aNPI1316129570assigned 11/29/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$145K
24GClaims4,938
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Colorado
Rank by total paid#195 of 521
Median peer was paid$53K
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 | |
|---|---|---|---|
| 2018 | 450 | $18K | |
| 2019 | 721 | $33K | |
| 2020 | 742 | $21K | |
| 2021 | 1,270 | $31K | |
| 2022 | 1,242 | $29K | |
| 2023 | 346 | $8K | |
| 2024incomplete | 167 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 1,316 | 1,300 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 1,553 | 1,532 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 108 | 51 | $15K |
| D0274 | Bitewings - four radiographic images | 8.4% | 424 | 419 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 5.3% | 636 | 613 | $8K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.8% | 44 | 25 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 300 | 297 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.5% | 121 | 115 | $4K |
| D1206 | Topical application of fluoride varnish | 2.5% | 210 | 210 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 1.9% | 226 | 215 | $3K |
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, DAVID (PRESIDENT)