Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
TX
›
KYLE
› JACOB, LISA
JACOB, LISA
NPI: 1386688331 · KYLE, TX 78640 ·
Dentist
· NPI assigned 06/16/2006
$215.81
Total Medicaid Paid
85
Total Claims
85
Beneficiaries
4
Codes Billed
2023-05
First Month
2023-07
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
85
$215.81
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1120
Prophylaxis - child
12
12
$110.25
D1208
Topical application of fluoride, excluding varnish
14
14
$58.80
D0272
Bitewings - two radiographic images
13
13
$46.76
D0603
46
46
$0.00