Dental
Jacobson Dental Corp
Jacobson Dental Corp was paid $109K by Medicaid between Nov 2024 and Dec 2024, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoJACOBSON DENTAL CORP
REDDING, CA 96003
REDDING, CA 96003
33aNPI1407609126assigned 04/10/2024
33bProvider typeGeneral Practice Dentistry
28Total paid$109K
24GClaims4,891
24DCodes billed18
24AFirst – last monthNov 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,512 of 2,668
Median peer was paid$173K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2024incomplete | 4,891 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 432 | 431 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 319 | 318 | $21K |
| D1310 | 9.1% | 222 | 222 | $10K | |
| D1351 | Sealant - per tooth | 8.6% | 246 | 78 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 7.9% | 423 | 419 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 146 | 146 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.7% | 1,781 | 443 | $7K |
| D0350 | 4.1% | 503 | 196 | $4K | |
| D0274 | Bitewings - four radiographic images | 3.2% | 165 | 164 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | 2.8% | 52 | 52 | $3K |
| D0603 | 2.5% | 187 | 187 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 39 | 23 | $2K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 168 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.2% | 34 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 19 | $1K |
| D0272 | Bitewings - two radiographic images | 1.2% | 106 | $1K |
| D9430 | <1% | 15 | $480.00 | |
| D0602 | <1% | 34 | $465.00 |
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.
From NPPES
Who's on the registration
Authorized officialKUMAR, KUSHBOO (AM)