FRIED, JAKE
NPI: 1063834299
· BALLSTON LAKE, NY 12019
· Pediatric Dentist
· NPI assigned 01/07/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
155 |
$4K |
| 2020 |
14 |
$566.76 |
| 2021 |
169 |
$5K |
| 2022 |
79 |
$2K |
| 2023 |
25 |
$430.20 |
| 2024 |
170 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
191 |
191 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
260 |
260 |
$7K |
| D1206 |
Topical application of fluoride varnish |
74 |
74 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
87 |
87 |
$1K |