POST, JAICEE
NPI: 1063864932
· SIOUX CITY, IA 51106
· Dentist
· NPI assigned 07/05/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
186 |
$4K |
| 2019 |
175 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
225 |
203 |
$5K |
| D1206 |
Topical application of fluoride varnish |
122 |
112 |
$2K |
| D1120 |
Prophylaxis - child |
14 |
12 |
$373.80 |