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    OpenPayerNPI Medicare & MedicaidJacobson Dental Corp
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    Jacobson Dental Corp — Billing Profile & Reimbursement Data

    NPI 1982937322 · San Francisco, CA · Orthodontics and Dentofacial Orthopedics Dentistry

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    Jacobson Dental Corp is a orthodontics and dentofacial orthopedics dentistry provider located in San Francisco, California. This profile covers 0 Medicare and 32 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationJacobson Dental Corp
    Address2480 Mission St
    CitySan Francisco
    StateCA
    ZIP94110
    TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
    NPI EnumeratedSeptember 17, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$27.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0120Periodic oral evaluation - established patient95,030$50$5M
    D1120Prophylaxis–child113,940$40$4.6M
    D1351Sealant - per tooth69,750$30$2.2M
    D0350N/A218,470$10$2M
    D2930N/A15,870$120$1.9M
    D1208Topical application of fluoride - excluding varnish113,890$10$1.6M
    D0230Intraoral - periapical each additional radiographic image340,600$1$1.4M
    D2392Post 2 surface resin‑based composite18,840$70$1.2M
    D9230N/A28,820$40$1.1M
    D0274N/A46,540$20$977.4K

    Showing 1–10 of 32

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    32 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A39720880$120$436.7K
    D9223N/A76280360$250$435.2K
    D3220N/A77650660$100$259.2K
    D0120Periodic oral evaluation - established patient115,640800$50$163.8K
    D1120Prophylaxis–child105,260680$40$137.9K
    D1310N/A721,470520$40$123.3K
    D9222N/A70280180$120$116.8K
    D9230N/A101,060500$40$102.2K
    D1351Sealant - per tooth42,310760$30$96K
    D0150Comprehensive oral evaluation – new or established patient666,220560$60$91.9K

    Showing 1–10 of 32

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Jacobson Dental Corp, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jacobson Dental CorpCAOrthodontics and Dentofacial Orthopedics Dentistry$0$30.8M
    Jacobson Dental CorpCAOrthodontics and Dentofacial Orthopedics Dentistry$0$26.9M

    Nearby Providers

    Other providers in the same ZIP code as Jacobson Dental Corp, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City & County Of San FranciscoCAGeneral Acute Care Hospital$0$56.4M
    City & County Of San FranciscoCAFederally Qualified Health Center (FQHC)$0$56.3M
    City & County Of San FranciscoCAFederally Qualified Health Center (FQHC)$0$41.6M
    City & County Of San FranciscoCAFederally Qualified Health Center (FQHC)$0$34.9M
    City & County Of San FranciscoCAFederally Qualified Health Center (FQHC)$0$27.8M
    Mission Area Health AssociatesCAFederally Qualified Health Center (FQHC)$0$26.8M
    Jay WangCAOphthalmology Physician$2.2M$0
    Eric LimCAInternal Medicine Physician$220.8K$74.6K
    Sina HoushmandCADiagnostic Radiology Physician$108.1K$0
    Patrick AvilaCAGastroenterology Physician$83.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Jacobson Dental Corp — 19 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California