ALBRECHTSEN, JON
NPI: 1134289820
· NORTH OGDEN, UT 84414
· General Practice Dentistry
· NPI assigned 12/11/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
47 |
$2K |
| 2019 |
75 |
$3K |
| 2024 |
115 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
78 |
78 |
$6K |
| D1120 |
Prophylaxis - child |
42 |
42 |
$698.40 |
| D1206 |
Topical application of fluoride varnish |
49 |
49 |
$690.28 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$685.60 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
31 |
$273.09 |
| D0230 |
Intraoral - periapical each additional radiographic image |
21 |
14 |
$0.00 |