SUMMERSETT, JANE
NPI: 1093165060
· HOUGHTON, MI 49931
· General Practice Dentistry
· NPI assigned 06/20/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38 |
$1K |
| 2019 |
246 |
$6K |
| 2020 |
33 |
$882.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
148 |
148 |
$4K |
| D1206 |
Topical application of fluoride varnish |
105 |
105 |
$2K |
| D1120 |
Prophylaxis - child |
64 |
64 |
$2K |