KOOSMANN, JERELYN
NPI: 1023457918
· ASHLAND, WI 54806
· Dental Hygienist
· NPI assigned 06/24/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
39 |
$595.60 |
| 2023 |
555 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0191 |
|
205 |
204 |
$3K |
| D1206 |
Topical application of fluoride varnish |
163 |
162 |
$3K |
| D1351 |
Sealant - per tooth |
102 |
30 |
$2K |
| D1353 |
|
124 |
26 |
$0.00 |