J ALAN TIMMONS DDS PC
NPI: 1134771140
· FRUITLAND, ID 83619
· Customized Equipment (DME)
· NPI assigned 07/10/2019
Provider Details
| Authorized Official | TIMMONS, J (OWNER) |
| NPI Enumeration Date | 07/10/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
32 |
$798.38 |
| 2021 |
37 |
$0.00 |
| 2022 |
43 |
$698.95 |
| 2024 |
68 |
$35.37 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
15 |
15 |
$798.38 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$698.95 |
| D0120 |
Periodic oral evaluation - established patient |
126 |
126 |
$35.37 |
| D1206 |
Topical application of fluoride varnish |
27 |
27 |
$0.00 |