JENNINGS, JAMES
NPI: 1083735211
· CASA GRANDE, AZ 85222
· Pediatric Dentist
· NPI assigned 04/03/2007
$42.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$42.00 |
| 2019 |
12 |
$0.00 |
| 2021 |
141 |
$0.00 |
| 2022 |
262 |
$0.00 |
| 2023 |
210 |
$0.00 |
| 2024 |
65 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
487 |
482 |
$42.00 |
| D1120 |
Prophylaxis - child |
62 |
62 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
166 |
166 |
$0.00 |