LIGHT, JONATHAN
NPI: 1023678133
· WHITEFISH, MT 59937
· General Practice Dentistry
· NPI assigned 06/20/2019
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
100 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1330 |
|
27 |
26 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
29 |
$0.00 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
14 |
$0.00 |
| D1110 |
Prophylaxis - adult |
15 |
14 |
$0.00 |