Dental
Jacobson, Patrecia
Jacobson, Patrecia was paid $2K by Medicaid between Jan 2018 and Nov 2018, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.
33Billing provider infoJACOBSON, PATRECIA
HIBBING, MN 55746
HIBBING, MN 55746
33aNPI1790802676assigned 03/23/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims1,983
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#270 of 368
Median peer was paid$19K
This provider vs. median0.1×
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 | 1,983 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26% | 174 | 174 | $443.56 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 248 | 248 | $366.73 |
| D0274 | Bitewings - four radiographic images | 21% | 168 | 168 | $355.83 |
| D0230 | Intraoral - periapical each additional radiographic image | 13% | 544 | 215 | $214.64 |
| D1206 | Topical application of fluoride varnish | 12% | 245 | 245 | $212.29 |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 258 | 243 | $116.99 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 167 | 167 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 39 | 28 | $0.00 |
| D2140 | 0% | 41 | 15 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 29 | 28 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 42 | 42 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 28 | 28 | $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.