SORENSEN, JACOB
NPI: 1326275462
· CLEAR LAKE, IA 50428
· General Practice Dentistry
· NPI assigned 06/16/2009
$108K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,618 |
$28K |
| 2019 |
1,018 |
$18K |
| 2020 |
559 |
$11K |
| 2021 |
851 |
$16K |
| 2022 |
648 |
$14K |
| 2023 |
558 |
$12K |
| 2024 |
299 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,242 |
1,171 |
$39K |
| D0120 |
Periodic oral evaluation - established patient |
2,076 |
1,942 |
$34K |
| D1206 |
Topical application of fluoride varnish |
1,516 |
1,411 |
$22K |
| D1120 |
Prophylaxis - child |
305 |
283 |
$8K |
| D0274 |
Bitewings - four radiographic images |
260 |
249 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
62 |
51 |
$541.11 |
| D1330 |
|
90 |
90 |
$0.00 |