CROSSMAN, JAMIE
NPI: 1053353912
· HAMILTON, MT 59840
· General Practice Dentistry
· NPI assigned 06/12/2006
$687.18
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
24 |
$687.18 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$435.06 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$252.12 |