PRAGASAM, JAMIE
NPI: 1093902330
· REDLANDS, CA 92374
· General Practice Dentistry
· NPI assigned 10/01/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
17 |
$323.00 |
| 2023 |
14 |
$266.00 |
| 2024 |
45 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1208 |
Topical application of fluoride, excluding varnish |
46 |
46 |
$874.00 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$658.00 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
16 |
$253.00 |