SCHWEPPE, JEFFREY
NPI: 1093235152
· SOUTH OGDEN, UT 84403
· General Practice Dentistry
· NPI assigned 06/20/2017
$106K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
260 |
$7K |
| 2020 |
1,478 |
$34K |
| 2021 |
758 |
$17K |
| 2022 |
160 |
$3K |
| 2023 |
995 |
$25K |
| 2024 |
675 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
805 |
803 |
$58K |
| D1120 |
Prophylaxis - child |
944 |
943 |
$20K |
| D0272 |
Bitewings - two radiographic images |
458 |
457 |
$8K |
| D1206 |
Topical application of fluoride varnish |
881 |
880 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
641 |
638 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
573 |
559 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24 |
24 |
$3K |