Jacobson Family Dentistry P.C.

Jacobson Family Dentistry P.C. was paid $81K by Medicaid between Jan 2019 and Oct 2020, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 19% of everything it billed.

33Billing provider infoJACOBSON FAMILY DENTISTRY P.C.
HIBBING, MN 55746

33aNPI1891948329assigned 10/28/2008

33bProvider typeGeneral Practice Dentistry

28Total paid$81K

24GClaims3,286

24DCodes billed10

24AFirst – last monthJan 2019 – Oct 2020

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#124 of 368

Median peer was paid$19K

This provider vs. median4.3×

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
2019	2,163	$54K
2020	1,123	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	19%	287	286	$16K
D0274	Bitewings - four radiographic images	18%	380	376	$14K
D0230	Intraoral - periapical each additional radiographic image	16%	1,189	414	$13K
D1206	Topical application of fluoride varnish	12%	363	360	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	253	253	$9K
D0220	Intraoral - periapical first radiographic image	9.2%	484	453	$8K
D0150	Comprehensive oral evaluation - new or established patient	7.3%	156	155	$6K
D1120	Dental cleaning, childProphylaxis - child	6.6%	147	147	$5K
D0140	Limited oral evaluation - problem focused	<1%	14	13	$496.51
D0272	Bitewings - two radiographic images	<1%	13	13	$448.76

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.

From NPPES

Who's on the registration

Authorized officialJACOBSON, PATRECIA (CEO)