JACOBSON FAMILY DENTISTRY P.C.
NPI: 1891948329
· HIBBING, MN 55746
· General Practice Dentistry
· NPI assigned 10/28/2008
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,163 |
$54K |
| 2020 |
1,123 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
287 |
286 |
$16K |
| D0274 |
Bitewings - four radiographic images |
380 |
376 |
$14K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,189 |
414 |
$13K |
| D1206 |
Topical application of fluoride varnish |
363 |
360 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
253 |
253 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
484 |
453 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
156 |
155 |
$6K |
| D1120 |
Prophylaxis - child |
147 |
147 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
14 |
13 |
$496.51 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$448.76 |