Dental
Matthew Jacobsen Pediatric Dentistry
Matthew Jacobsen Pediatric Dentistry was paid $0.00 by Medicaid between Jan 2019 and Dec 2019, across 2 billing codes. Its largest line is D1120, dental cleaning, child — 0% of everything it billed.
33Billing provider infoMATTHEW JACOBSEN PEDIATRIC DENTISTRY
RIVERTON, UT 84096
RIVERTON, UT 84096
33aNPI1902271539assigned 12/08/2015
33bProvider typePediatric Dentist
28Total paid$0.00
24GClaims86
24DCodes billed2
24AFirst – last monthJan 2019 – Dec 2019
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#151 of 152
Median peer was paid$311K
This provider vs. median0.0×
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 | 86 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 42 | 38 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 44 | 40 | $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.
From NPPES
Who's on the registration
Authorized officialJACOBSEN, MATTHEW (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| South Hills Pediatric Dental Specialists, LLC | Riverton, UT | $241K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.