HEINTZ, JASON
NPI: 1073745386
· POLSON, MT 59860
· Dentist
· NPI assigned 08/20/2009
$607.04
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
31 |
$607.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$393.84 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$213.20 |