Dental
Ferris, Jacob
Ferris, Jacob was paid $8K by Medicaid between Nov 2019 and Oct 2020, across 5 billing codes. Its largest line is D0210, Intraoral - complete series of radiographic images — 51% of everything it billed.
33Billing provider infoFERRIS, JACOB
SUPERIOR, WI 54880
SUPERIOR, WI 54880
33aNPI1932551751assigned 07/05/2016
33bProvider typeDentist
28Total paid$8K
24GClaims395
24DCodes billed5
24AFirst – last monthNov 2019 – Oct 2020
Compared with peers
Next to other Dentist providers in Wisconsin
Rank by total paid#129 of 185
Median peer was paid$28K
This provider vs. median0.3×
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 | 56 | $1K | |
| 2020 | 339 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 51% | 136 | 114 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 34% | 177 | 149 | $3K |
| D1110 | Prophylaxis - adult | 6.7% | 24 | 24 | $566.99 |
| D1206 | Topical application of fluoride varnish | 6.3% | 46 | 43 | $528.49 |
| D0140 | Limited oral evaluation - problem focused | 2.5% | 12 | 12 | $207.35 |
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.