JACOBSON DENTAL CORP
Total Paid
$27.9M
$27,916,436
Total Claims
1.2M
Beneficiaries
748K
1.6 claims/patient
Avg Cost/Claim
$23
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 32 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 18% of total spending.
$5.1M
95K claims
$53.47
$24.34
Periodic oral evaluation, established patient
$5.1M
95K claims · 18.2%
Prophylaxis, adult
$4.6M
114K claims · 16.4%
Sealant, per tooth
$2.2M
70K claims · 7.8%
$1.9M
218K claims · 6.7%
$1.9M
16K claims
$116.92
$120.85
Prefabricated stainless steel crown, primary tooth
$1.9M
16K claims · 6.6%
$1.7M
114K claims
$14.49
$14.36
Topical application of fluoride, excluding varnish
$1.7M
114K claims · 5.9%
$1.4M
341K claims
$4.01
$7.33
Intraoral, periapical radiographic image, first film
$1.4M
341K claims · 4.9%
$1.2M
19K claims
$65.66
$71.00
Resin-based composite, two surfaces, posterior
$1.2M
19K claims · 4.4%
$1.1M
29K claims
$38.49
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$1.1M
29K claims · 4.0%
$993K
47K claims
$21.34
$22.54
Bitewings, four radiographic images
$993K
47K claims · 3.6%
$924K
16K claims
$56.75
$57.39
Extraction, erupted tooth or exposed root
$924K
16K claims · 3.3%
$764K
12K claims
$63.15
$32.07
Comprehensive oral evaluation, new or established patient
$764K
12K claims · 2.7%
$690K
15K claims
$46.58
$40.52
Nutritional counseling for control of dental disease
$690K
15K claims · 2.5%
Therapeutic pulpotomy
$675K
6,835 claims · 2.4%
$566K
9,312 claims
$60.81
$57.30
Oral evaluation for patient under 3 years, counseling
$566K
9,312 claims · 2.0%
$444K
8,341 claims
$53.27
$54.60
Resin-based composite, one surface, posterior
$444K
8,341 claims · 1.6%
$367K
1,632 claims
$224.68
$107.14
Deep sedation/general anesthesia, each additional 15 min
$367K
1,632 claims · 1.3%
$344K
29K claims
$11.80
$15.81
Bitewings, two radiographic images
$344K
29K claims · 1.2%
$305K
26K claims
$11.95
$10.51
Intraoral periapical radiographic image, first film
$305K
26K claims · 1.1%
Panoramic radiographic image
$276K
9,475 claims · 1.0%
$184K
5,846 claims · 0.7%
$104K
907 claims
$114.64
$90.28
Deep sedation/general anesthesia, first 15 minutes
$104K
907 claims · 0.4%
$103K
1,321 claims
$77.70
$84.26
Resin-based composite, three surfaces, posterior
$103K
1,321 claims · 0.4%
$91K
6,021 claims · 0.3%
$67K
4,408 claims · 0.2%
$55K
3,609 claims · 0.2%
$21K
147 claims · 0.1%
$9K
1,806 claims · 0.0%
$5K
56 claims
$81.97
$66.63
Resin-based composite filling, one surface, anterior
$5K
56 claims · 0.0%
$4K
37 claims · 0.0%
$1K
19 claims · 0.0%
$0
1,269 claims
$0.00
$101.33
Unspecified diagnostic procedure, by report
$0
1,269 claims · 0.0%
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