Ackerman, Jack

Ackerman, Jack was paid $26K by Medicaid between Jan 2018 and Sep 2021, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 37% of everything it billed.

33Billing provider infoACKERMAN, JACK
BLOOMINGTON, CA 92316

33aNPI1922084276assigned 12/19/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$26K

24GClaims843

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other General Practice Dentistry providers in California

Rank by total paid#1,969 of 2,668

Median peer was paid$173K

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	188	$5K
2019	411	$14K
2020	182	$4K
2021	62	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	37%	172	171	$9K
D0210	Intraoral - complete series of radiographic images	24%	152	150	$6K
D9430		16%	130	121	$4K
D1120	Dental cleaning, childProphylaxis - child	7.7%	76	73	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.2%	61	59	$2K
D1208	Topical application of fluoride, excluding varnish	6.7%	183	181	$2K
D0230	Intraoral - periapical each additional radiographic image	<1%	56	14	$226.80
D0220	Intraoral - periapical first radiographic image	<1%	13	12	$138.00

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.