JEFFERSON COMPREHENSIVE CARE SYSTEM INC
NPI: 1023277746
· PINE BLUFF, AR 71601
· Dentist
· NPI assigned 06/06/2008
Provider Details
| Authorized Official | DAVIS, LARNELL (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/06/2008 |
Related Entities
Other providers sharing the same authorized official: DAVIS, LARNELL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
49 |
$609.90 |
| 2020 |
46 |
$2K |
| 2021 |
115 |
$3K |
| 2022 |
446 |
$10K |
| 2023 |
362 |
$12K |
| 2024 |
74 |
$705.35 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
588 |
548 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
363 |
314 |
$5K |
| D0330 |
Panoramic radiographic image |
105 |
105 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
24 |
24 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$79.80 |