FISHER, JACKLYN
NPI: 1073890778
· NEW YORK, NY 10128
· Student in an Organized Health Care Education/Training Program
· NPI assigned 11/08/2011
$209K
Total Medicaid Paid
1,667
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
229 |
$36K |
| 2019 |
299 |
$48K |
| 2020 |
241 |
$35K |
| 2021 |
229 |
$21K |
| 2022 |
203 |
$19K |
| 2023 |
254 |
$25K |
| 2024 |
221 |
$24K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,616 |
1,607 |
$207K |
| D0340 |
|
15 |
15 |
$665.00 |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$420.00 |
| D0350 |
|
30 |
30 |
$283.00 |