DUSTIN JOUBERT DDS INC
NPI: 1013374644
· JENNINGS, LA 70546
· General Practice Dentistry
· NPI assigned 01/27/2016
$103K
Total Medicaid Paid
Provider Details
| Authorized Official | JOUBERT, DUSTIN (OWNER/OWNER) |
| NPI Enumeration Date | 01/27/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,371 |
$40K |
| 2019 |
904 |
$27K |
| 2020 |
595 |
$17K |
| 2021 |
338 |
$8K |
| 2022 |
457 |
$12K |
| 2023 |
85 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,222 |
1,186 |
$30K |
| D1110 |
Prophylaxis - adult |
649 |
618 |
$27K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
381 |
312 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
676 |
666 |
$12K |
| D1120 |
Prophylaxis - child |
341 |
338 |
$11K |
| D0272 |
Bitewings - two radiographic images |
449 |
430 |
$9K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
32 |
24 |
$2K |