JDM DENTAL, PLC
NPI: 1154605384
· CHESTER, VA 23831
· Dentist
· NPI assigned 10/06/2011
Provider Details
| Authorized Official | MAURER, JEFFREY (DENTIST) |
| NPI Enumeration Date | 10/06/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
734 |
$18K |
| 2019 |
991 |
$25K |
| 2020 |
74 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
578 |
578 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
537 |
525 |
$10K |
| D1120 |
Prophylaxis - child |
259 |
259 |
$9K |
| D1110 |
Prophylaxis - adult |
191 |
179 |
$8K |
| D0272 |
Bitewings - two radiographic images |
67 |
67 |
$1K |
| D9630 |
|
68 |
67 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
27 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
42 |
39 |
$1K |
| D0274 |
Bitewings - four radiographic images |
27 |
24 |
$634.80 |