JACOBSON DENTAL CORP
NPI: 1366030819
· MORENO VALLEY, CA 92553
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 01/08/2021
$2.53M
Total Medicaid Paid
Provider Details
| Authorized Official | JACOBSON, JEFFREY (OWNER) |
| NPI Enumeration Date | 01/08/2021 |
Related Entities
Other providers sharing the same authorized official: JACOBSON, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
5,948 |
$125K |
| 2022 |
19,385 |
$464K |
| 2023 |
30,640 |
$788K |
| 2024 |
45,591 |
$1.16M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
9,146 |
9,110 |
$452K |
| D0120 |
|
4,310 |
4,286 |
$295K |
| D1310 |
|
5,161 |
5,137 |
$230K |
| D0150 |
|
3,355 |
3,347 |
$223K |
| D1208 |
|
8,673 |
8,640 |
$182K |
| D2392 |
|
2,644 |
1,787 |
$176K |
| D9230 |
|
3,265 |
3,024 |
$130K |
| D0230 |
|
30,874 |
6,824 |
$124K |
| D0350 |
|
14,469 |
5,298 |
$110K |
| D0145 |
|
1,418 |
1,415 |
$96K |
| D2391 |
|
1,594 |
1,113 |
$86K |
| D1351 |
|
2,301 |
694 |
$83K |
| D7140 |
|
1,106 |
714 |
$63K |
| D0603 |
|
4,051 |
4,026 |
$59K |
| D2930 |
|
433 |
321 |
$51K |
| D0220 |
|
2,894 |
2,856 |
$35K |
| D0274 |
|
1,900 |
1,895 |
$32K |
| D0272 |
|
1,895 |
1,883 |
$22K |
| D3220 |
|
187 |
144 |
$18K |
| D9993 |
|
304 |
304 |
$18K |
| D2393 |
|
177 |
150 |
$14K |
| D9430 |
|
370 |
367 |
$12K |
| D0602 |
|
525 |
524 |
$8K |
| D0330 |
|
255 |
255 |
$8K |
| D0210 |
|
108 |
108 |
$5K |
| D0601 |
|
117 |
117 |
$2K |
| D2330 |
|
20 |
14 |
$2K |
| D0270 |
|
12 |
12 |
$60.00 |