Jacob, Lisa

Jacob, Lisa was paid $215.81 by Medicaid between May 2023 and Jul 2023, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 51% of everything it billed.

33Billing provider infoJACOB, LISA
KYLE, TX 78640

33aNPI1386688331assigned 06/16/2006

33bProvider typeDentist

28Total paid$215.81

24GClaims85

24DCodes billed4

24AFirst – last monthMay 2023 – Jul 2023

Compared with peers

Next to other Dentist providers in Texas

Rank by total paid#1,546 of 1,678

Median peer was paid$35K

This provider vs. median0.0×

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
2023	85	$215.81

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	51%	12	12	$110.25
D1208	Topical application of fluoride, excluding varnish	27%	14	14	$58.80
D0272	Bitewings - two radiographic images	22%	13	13	$46.76
D0603		0%	46	46	$0.00

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.