JESSICA N TORRE, DDS, PC
NPI: 1124275086
· NANTUCKET, MA 02554
· Dentist
· NPI assigned 08/22/2008
$168K
Total Medicaid Paid
Provider Details
| Authorized Official | TORRE, JESSICA (PRESIDENT) |
| NPI Enumeration Date | 08/22/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
863 |
$28K |
| 2019 |
944 |
$33K |
| 2020 |
547 |
$18K |
| 2021 |
733 |
$25K |
| 2022 |
685 |
$25K |
| 2023 |
753 |
$28K |
| 2024 |
332 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,110 |
1,073 |
$54K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,646 |
1,592 |
$47K |
| D0120 |
Periodic oral evaluation - established patient |
1,614 |
1,556 |
$46K |
| D0274 |
Bitewings - four radiographic images |
392 |
381 |
$16K |
| D1110 |
Prophylaxis - adult |
61 |
56 |
$4K |
| D1999 |
|
34 |
32 |
$0.00 |