Dental
Bissonette, Jacob
Bissonette, Jacob was paid $633K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.
33Billing provider infoBISSONETTE, JACOB
PIKETON, OH 45661
PIKETON, OH 45661
33aNPI1568651818assigned 10/22/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$633K
24GClaims26,434
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#131 of 870
Median peer was paid$40K
This provider vs. median16×
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 | 4,858 | $121K | |
| 2019 | 5,669 | $125K | |
| 2020 | 2,882 | $64K | |
| 2021 | 3,378 | $76K | |
| 2022 | 3,790 | $82K | |
| 2023 | 2,529 | $49K | |
| 2024incomplete | 3,328 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17% | 2,788 | 2,612 | $109K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,421 | 1,064 | $79K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,882 | 3,645 | $78K |
| D0274 | Bitewings - four radiographic images | 11% | 3,005 | 2,827 | $69K |
| D1206 | Topical application of fluoride varnish | 8.8% | 3,209 | 3,023 | $56K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 2,315 | 2,206 | $52K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.4% | 747 | 559 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 1,193 | 1,156 | $32K |
| D7140 | Extraction, erupted tooth or exposed root | 4.8% | 546 | 347 | $31K |
| D0272 | Bitewings - two radiographic images | 2.9% | 1,625 | 1,551 | $19K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 760 | 705 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 2,573 | 2,386 | $15K |
7 more codes
| D0330 | Panoramic radiographic image | 2.2% | 296 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 1,781 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 126 | $8K |
| D1351 | Sealant - per tooth | <1% | 118 | $3K |
| D2331 | <1% | 16 | $971.37 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 17 | $963.90 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 16 | $244.50 |
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.