ROBERT B JACOB, DDS, INC
NPI: 1992175699
· SAN DIEGO, CA 92111
· Dental Clinic/Center
· NPI assigned 10/07/2015
$632K
Total Medicaid Paid
Provider Details
| Authorized Official | JACOB, ROBERT (PRESIDENT) |
| NPI Enumeration Date | 10/07/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
521 |
$93K |
| 2019 |
521 |
$113K |
| 2020 |
432 |
$99K |
| 2021 |
480 |
$109K |
| 2022 |
439 |
$95K |
| 2023 |
365 |
$74K |
| 2024 |
273 |
$48K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,560 |
1,559 |
$486K |
| D0160 |
|
1,454 |
1,446 |
$145K |
| D9430 |
|
17 |
17 |
$544.00 |