Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › COMMERCE TOWNSHIP › STEPHEN E JACOBSON DDS PC

STEPHEN E JACOBSON DDS PC

NPI: 1518117498 · COMMERCE TOWNSHIP, MI 48390 · General Practice Dentistry · NPI assigned 09/26/2008

$3K
Total Medicaid Paid
115
Total Claims
115
Beneficiaries
4
Codes Billed
2020-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJACOBSON, STEPHEN (DENTIST)
NPI Enumeration Date09/26/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 25 $555.00
2022 26 $637.00
2023 26 $660.89
2024 38 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 64 64 $2K
D1206 Topical application of fluoride varnish 25 25 $530.42
D1120 Prophylaxis - child 13 13 $519.00
D1208 Topical application of fluoride, excluding varnish 13 13 $275.00