Dental
Jacob, Teresa
Jacob, Teresa was paid $1.47M by Medicaid between Jan 2018 and Jun 2023, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoJACOB, TERESA
NORTH KINGSTOWN, RI 02852
NORTH KINGSTOWN, RI 02852
33aNPI1508094608assigned 06/26/2009
33bProvider typeGeneral Practice Dentistry
28Total paid$1.47M
24GClaims24,662
24DCodes billed27
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other General Practice Dentistry providers in Rhode Island
Rank by total paid#11 of 86
Median peer was paid$77K
This provider vs. median19×
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 | 10,162 | $484K | |
| 2019 | 38 | $2K | |
| 2020 | 2,777 | $167K | |
| 2021 | 5,819 | $410K | |
| 2022 | 3,631 | $257K | |
| 2023 | 2,235 | $155K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 90% | 7,699 | 6,824 | $1.33M |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 946 | 641 | $33K |
| D1110 | Prophylaxis - adult | 1.2% | 3,732 | 3,415 | $18K |
| D1206 | Topical application of fluoride varnish | 1.1% | 568 | 399 | $16K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,977 | 1,660 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 528 | 352 | $12K |
| D0274 | Bitewings - four radiographic images | <1% | 1,370 | 1,137 | $10K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 279 | 184 | $8K |
| D1351 | Sealant - per tooth | <1% | 415 | 86 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 615 | 537 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,069 | 971 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 135 | 102 | $4K |
15 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 109 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,664 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 188 | $3K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 701 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 107 | $810.00 |
| D2140 | <1% | 23 | $720.00 | |
| D0330 | Panoramic radiographic image | <1% | 21 | $700.00 |
| D2335 | <1% | 37 | $344.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 855 | $344.00 |
| D2940 | <1% | 31 | $140.00 | |
| D2950 | <1% | 48 | $110.00 | |
| D0270 | <1% | 212 | $60.00 | |
| D1330 | 0% | 1,163 | $0.00 | |
| D0603 | 0% | 120 | $0.00 | |
| D0602 | 0% | 50 | $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.