HALLIE, JON
NPI: 1063892313
· ROSEAU, MN 56751
· Dentist
· NPI assigned 06/02/2015
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
94 |
$0.00 |
| 2019 |
65 |
$1K |
| 2020 |
77 |
$1K |
| 2021 |
64 |
$1K |
| 2022 |
37 |
$1K |
| 2023 |
41 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
176 |
159 |
$3K |
| D9410 |
|
142 |
126 |
$2K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$543.72 |
| D9985 |
|
48 |
42 |
$0.00 |