Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › St Clair Shores › NPI 1972563609
Dental

Jacobs, Jonathan

Jacobs, Jonathan was paid $577.51 by Medicaid between Nov 2018 and Jun 2019, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 74% of everything it billed.

33Billing provider infoJACOBS, JONATHAN
ST CLAIR SHORES, MI 48080
33aNPI1972563609assigned 03/25/2006
28Total paid$577.51
24GClaims36
24DCodes billed2
24AFirst – last monthNov 2018 – Jun 2019
Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#1,400 of 1,554
Median peer was paid$15K
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

$0$200$4002018201920202021202220232024
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
YearClaimsPaid
201824$323.03
201912$254.48
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 74% 24 24 $425.13
D1208 Topical application of fluoride, excluding varnish 26% 12 12 $152.38

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.