DR. JACLYN M. JENSEN DDS, PC
NPI: 1063661726
· CROOKSTON, MN 56716
· General Practice Dentistry
· NPI assigned 09/17/2008
Provider Details
| Authorized Official | JENSEN, JACLYN (OWNER) |
| NPI Enumeration Date | 09/17/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
239 |
$0.00 |
| 2019 |
255 |
$6K |
| 2020 |
219 |
$5K |
| 2021 |
311 |
$8K |
| 2022 |
172 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
666 |
665 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
247 |
246 |
$4K |
| D1110 |
Prophylaxis - adult |
110 |
110 |
$4K |
| D1120 |
Prophylaxis - child |
173 |
173 |
$3K |