JACOBS, ALLISON
NPI: 1336683770
· WEST CHESTER, OH 45069
· Dentist
· NPI assigned 12/05/2016
$177K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
99 |
$3K |
| 2024 |
1,026 |
$174K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
253 |
218 |
$125K |
| D0340 |
|
182 |
181 |
$19K |
| D0330 |
Panoramic radiographic image |
165 |
164 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
165 |
164 |
$8K |
| D0470 |
|
179 |
178 |
$7K |
| D0350 |
|
181 |
180 |
$4K |