PAUL L JANE DDS, DAVID A HEDSTROM DDS, JASPER AINSLIE DDS, PA
NPI: 1033121090
· PETERBOROUGH, NH 03458
· General Practice Dentistry
· NPI assigned 08/11/2006
Provider Details
| Authorized Official | JANE, PAUL (PRES) |
| NPI Enumeration Date | 08/11/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,063 |
$38K |
| 2019 |
356 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
311 |
309 |
$15K |
| D1120 |
Prophylaxis - child |
396 |
391 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
363 |
363 |
$11K |
| D0274 |
Bitewings - four radiographic images |
158 |
158 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
108 |
108 |
$2K |
| D1351 |
Sealant - per tooth |
58 |
13 |
$2K |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$650.00 |