Jacob, Stanley

Jacob, Stanley was paid $505K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.

33Billing provider infoJACOB, STANLEY
NEW HYDE PARK, NY 11040

33aNPI1427207588assigned 09/14/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$505K

24GClaims16,240

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#301 of 2,184

Median peer was paid$54K

This provider vs. median9.4×

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
2018	2,121	$74K
2019	2,649	$105K
2020	2,029	$65K
2021	2,765	$87K
2022	2,117	$63K
2023	1,933	$56K
2024incomplete	2,626	$55K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	17%	2,058	1,976	$85K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	3,702	3,395	$84K
D1110	Prophylaxis - adult	13%	2,484	2,205	$64K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	11%	804	470	$54K
D0274	Bitewings - four radiographic images	10%	1,806	1,666	$53K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.8%	509	261	$29K
D0140	Limited oral evaluation - problem focused	5.6%	1,106	1,047	$28K
D1208	Topical application of fluoride, excluding varnish	5.3%	1,097	1,018	$27K
D0210	Intraoral - complete series of radiographic images	4.7%	471	448	$24K
D0150	Comprehensive oral evaluation - new or established patient	4.7%	522	502	$24K
D7140	Extraction, erupted tooth or exposed root	2.4%	203	132	$12K
D0220	Intraoral - periapical first radiographic image	1.8%	925	813	$9K

5 more codes

D2150	Silver amalgam - two surfaces, primary or permanent	<1%	71	$4K
D0230	Intraoral - periapical each additional radiographic image	<1%	406	$4K
D2140		<1%	44	$2K
D0330	Panoramic radiographic image	<1%	19	$653.37
D1206	Topical application of fluoride varnish	<1%	13	$341.04

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.