Dental
Noble, Jacob
Noble, Jacob was paid $301K by Medicaid between Jan 2018 and Jan 2022, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.
33Billing provider infoNOBLE, JACOB
HIBBING, MN 55746
HIBBING, MN 55746
33aNPI1760742480assigned 05/29/2012
33bProvider typeGeneral Practice Dentistry
28Total paid$301K
24GClaims10,370
24DCodes billed19
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#88 of 368
Median peer was paid$19K
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 | 4,354 | $19K | |
| 2019 | 2,661 | $122K | |
| 2020 | 1,657 | $77K | |
| 2021 | 1,655 | $81K | |
| 2022 | 43 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 45% | 2,682 | 2,659 | $137K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 2,746 | 2,719 | $75K |
| D0274 | Bitewings - four radiographic images | 15% | 1,342 | 1,335 | $45K |
| D0140 | Limited oral evaluation - problem focused | 4.4% | 450 | 440 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 831 | 818 | $10K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.5% | 235 | 184 | $5K |
| D1206 | Topical application of fluoride varnish | 1.5% | 219 | 218 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.1% | 729 | 308 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.0% | 140 | 140 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 289 | 289 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 57 | 57 | $1K |
| D2140 | <1% | 103 | 75 | $1K |
7 more codes
| D2331 | <1% | 148 | $798.24 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 109 | $105.94 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 124 | $84.71 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 88 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 14 | $0.00 |
| D2330 | 0% | 47 | $0.00 | |
| D2332 | 0% | 17 | $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.