DR. JACK SMALLEY D.D.S.
NPI: 1073844221
· FARMINGTON, NM 87401
· 122300000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
155 |
$5K |
| 2023 |
189 |
$6K |
| 2024 |
38 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
218 |
216 |
$9K |
| D1206 |
|
78 |
77 |
$1K |
| D0274 |
|
41 |
40 |
$1K |
| D0120 |
|
45 |
45 |
$866.91 |