JACOBSON DENTAL CORP
Total Paid
$26.9M
$26,908,243
Total Claims
1.4M
Beneficiaries
793K
1.7 claims/patient
Avg Cost/Claim
$20
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 34 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 20% of total spending.
$5.3M
94K claims
$56.52
$24.34
Periodic oral evaluation, established patient
$5.3M
94K claims · 19.7%
Prophylaxis, adult
$4.5M
113K claims · 16.8%
$3.1M
363K claims · 11.4%
$1.6M
112K claims
$14.67
$14.36
Topical application of fluoride, excluding varnish
$1.6M
112K claims · 6.1%
$1.5M
386K claims
$4.01
$7.33
Intraoral, periapical radiographic image, first film
$1.5M
386K claims · 5.8%
$1.3M
20K claims
$65.58
$71.00
Resin-based composite, two surfaces, posterior
$1.3M
20K claims · 4.8%
Sealant, per tooth
$1.2M
41K claims · 4.5%
$936K
21K claims
$44.76
$40.52
Nutritional counseling for control of dental disease
$936K
21K claims · 3.5%
$935K
44K claims
$21.01
$22.54
Bitewings, four radiographic images
$935K
44K claims · 3.5%
$884K
7,583 claims
$116.60
$120.85
Prefabricated stainless steel crown, primary tooth
$884K
7,583 claims · 3.3%
$877K
22K claims
$39.25
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$877K
22K claims · 3.3%
$794K
12K claims
$65.02
$32.07
Comprehensive oral evaluation, new or established patient
$794K
12K claims · 3.0%
$603K
9,488 claims
$63.57
$57.30
Oral evaluation for patient under 3 years, counseling
$603K
9,488 claims · 2.2%
$562K
10K claims
$56.04
$57.39
Extraction, erupted tooth or exposed root
$562K
10K claims · 2.1%
$438K
8,216 claims
$53.30
$54.60
Resin-based composite, one surface, posterior
$438K
8,216 claims · 1.6%
$419K
36K claims
$11.70
$15.81
Bitewings, two radiographic images
$419K
36K claims · 1.6%
Therapeutic pulpotomy
$413K
4,220 claims · 1.5%
Panoramic radiographic image
$344K
12K claims · 1.3%
$340K
29K claims
$11.65
$10.51
Intraoral periapical radiographic image, first film
$340K
29K claims · 1.3%
$205K
14K claims · 0.8%
$182K
5,724 claims · 0.7%
$147K
772 claims
$189.98
$107.14
Deep sedation/general anesthesia, each additional 15 min
$147K
772 claims · 0.5%
$94K
6,652 claims · 0.4%
$89K
1,137 claims
$78.13
$84.26
Resin-based composite, three surfaces, posterior
$89K
1,137 claims · 0.3%
$51K
419 claims
$122.43
$90.28
Deep sedation/general anesthesia, first 15 minutes
$51K
419 claims · 0.2%
$14K
612 claims · 0.1%
$11K
137 claims
$79.80
$66.63
Resin-based composite filling, one surface, anterior
$11K
137 claims · 0.0%
$3K
35 claims · 0.0%
$3K
14 claims · 0.0%
$2K
15 claims · 0.0%
$2K
117 claims · 0.0%
$1K
153 claims
$7.75
$18.12
Topical application of fluoride varnish
$1K
153 claims · 0.0%
$1K
217 claims · 0.0%
$0
837 claims
$0.00
$101.33
Unspecified diagnostic procedure, by report
$0
837 claims · 0.0%
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