Dental
Amarilis Jacobo Dental Office PC
Amarilis Jacobo Dental Office PC was paid $2.45M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 27% of everything it billed.
33Billing provider infoAMARILIS JACOBO DENTAL OFFICE PC
NEW YORK, NY 10026
NEW YORK, NY 10026
33aNPI1326299181assigned 10/09/2008
33bProvider typeDentist
28Total paid$2.45M
24GClaims103,512
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#36 of 1,649
Median peer was paid$49K
This provider vs. median50×
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 | 10,033 | $258K | |
| 2019 | 12,719 | $279K | |
| 2020 | 10,018 | $219K | |
| 2021 | 14,189 | $333K | |
| 2022 | 15,444 | $356K | |
| 2023 | 20,697 | $503K | |
| 2024incomplete | 20,412 | $506K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 27% | 15,909 | 15,888 | $659K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 18,362 | 18,336 | $412K |
| D0274 | Bitewings - four radiographic images | 14% | 15,944 | 15,937 | $349K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.8% | 3,715 | 3,710 | $143K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.2% | 1,840 | 1,446 | $129K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 14,911 | 14,834 | $128K |
| D2740 | Crown - porcelain/ceramic | 4.1% | 271 | 217 | $100K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 1,934 | 1,470 | $99K |
| D0210 | Intraoral - complete series of radiographic images | 4.0% | 3,177 | 3,162 | $97K |
| D7140 | Extraction, erupted tooth or exposed root | 3.9% | 2,104 | 1,649 | $96K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 15,839 | 15,810 | $94K |
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 5,077 | 5,074 | $66K |
8 more codes
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 officialJACOBO, AMARILIS (DENTIST)
Parent organizationAMARILIS JACOBO DENTAL OFFICE PC