Dental
Sebastian, Jacob
Sebastian, Jacob was paid $211K by Medicaid between Oct 2020 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoSEBASTIAN, JACOB
WARRINGTON, PA 18976
WARRINGTON, PA 18976
33aNPI1407383425assigned 05/22/2017
33bProvider typePediatric Dentist
28Total paid$211K
24GClaims13,494
24DCodes billed21
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Pennsylvania
Rank by total paid#91 of 237
Median peer was paid$109K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2020 | 358 | $6K | |
| 2021 | 3,336 | $59K | |
| 2022 | 12 | $207.75 | |
| 2023 | 3,071 | $42K | |
| 2024incomplete | 6,717 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 2,131 | 2,110 | $51K |
| D1206 | Topical application of fluoride varnish | 21% | 2,279 | 2,260 | $44K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 1,399 | 1,381 | $29K |
| D0603 | 6.5% | 1,421 | 1,406 | $14K | |
| D0272 | Bitewings - two radiographic images | 5.8% | 720 | 711 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 193 | 85 | $12K |
| D1330 | 4.2% | 1,811 | 1,792 | $9K | |
| D1351 | Sealant - per tooth | 4.0% | 360 | 67 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 394 | 391 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | 2.9% | 293 | 292 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 436 | 427 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 333 | 318 | $3K |
9 more codes
| D1110 | Prophylaxis - adult | 1.4% | 75 | $3K |
| D9248 | <1% | 14 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 35 | $1K |
| D0601 | <1% | 128 | $1K | |
| D0330 | Panoramic radiographic image | <1% | 27 | $1K |
| D0602 | <1% | 94 | $880.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 16 | $851.91 |
| D0274 | Bitewings - four radiographic images | <1% | 15 | $459.80 |
| D1310 | <1% | 1,320 | $29.00 |
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.