WASSERMAN, JAY
NPI: 1144432410
· QUEENSBURY, NY 12804
· General Practice Dentistry
· NPI assigned 05/07/2007
$840.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$840.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$540.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$300.00 |