JACOBSON DENTAL CORP
Total Paid
$30.8M
$30,791,436
Total Claims
1.3M
Beneficiaries
719K
1.8 claims/patient
Avg Cost/Claim
$24
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 35 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 15% of total spending.
$4.7M
81K claims
$58.34
$24.34
Periodic oral evaluation, established patient
$4.7M
81K claims · 15.4%
Prophylaxis, adult
$3.8M
95K claims · 12.3%
$3.5M
30K claims
$117.90
$120.85
Prefabricated stainless steel crown, primary tooth
$3.5M
30K claims · 11.4%
$2.5M
281K claims · 8.0%
Therapeutic pulpotomy
$2.0M
20K claims · 6.4%
$1.7M
26K claims
$65.59
$71.00
Resin-based composite, two surfaces, posterior
$1.7M
26K claims · 5.6%
Sealant, per tooth
$1.7M
57K claims · 5.4%
$1.5M
361K claims
$4.05
$7.33
Intraoral, periapical radiographic image, first film
$1.5M
361K claims · 4.7%
$1.3M
94K claims
$14.22
$14.36
Topical application of fluoride, excluding varnish
$1.3M
94K claims · 4.3%
$883K
14K claims
$64.88
$32.07
Comprehensive oral evaluation, new or established patient
$883K
14K claims · 2.9%
$856K
22K claims
$39.18
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$856K
22K claims · 2.8%
$849K
15K claims
$55.93
$57.39
Extraction, erupted tooth or exposed root
$849K
15K claims · 2.8%
$779K
37K claims
$20.98
$22.54
Bitewings, four radiographic images
$779K
37K claims · 2.5%
$669K
15K claims
$45.00
$40.52
Nutritional counseling for control of dental disease
$669K
15K claims · 2.2%
$599K
11K claims
$52.96
$54.60
Resin-based composite, one surface, posterior
$599K
11K claims · 1.9%
$517K
1,843 claims
$280.39
$107.14
Deep sedation/general anesthesia, each additional 15 min
$517K
1,843 claims · 1.7%
$491K
7,746 claims
$63.39
$57.30
Oral evaluation for patient under 3 years, counseling
$491K
7,746 claims · 1.6%
$477K
41K claims
$11.73
$10.51
Intraoral periapical radiographic image, first film
$477K
41K claims · 1.5%
$285K
25K claims
$11.62
$15.81
Bitewings, two radiographic images
$285K
25K claims · 0.9%
Panoramic radiographic image
$276K
9,527 claims · 0.9%
$266K
1,641 claims · 0.9%
$245K
3,152 claims
$77.64
$84.26
Resin-based composite, three surfaces, posterior
$245K
3,152 claims · 0.8%
$220K
2,291 claims · 0.7%
$180K
5,657 claims · 0.6%
$149K
1,198 claims
$124.33
$90.28
Deep sedation/general anesthesia, first 15 minutes
$149K
1,198 claims · 0.5%
$124K
1,634 claims
$75.72
$66.63
Resin-based composite filling, one surface, anterior
$124K
1,634 claims · 0.4%
$112K
7,576 claims · 0.4%
$83K
5,764 claims · 0.3%
$45K
573 claims · 0.1%
$19K
337 claims · 0.1%
$18K
1,508 claims · 0.1%
$15K
1,019 claims · 0.0%
$3K
434 claims · 0.0%
$185
37 claims · 0.0%
$0
83 claims
$0.00
$101.33
Unspecified diagnostic procedure, by report
$0
83 claims · 0.0%
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