JACOB M BAGLEY
NPI: 1154674232
· ELMER, NJ 08318
· Customized Equipment (DME)
· NPI assigned 10/26/2012
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BAGLEY, JACOB (DENTIST / OWNER) |
| NPI Enumeration Date | 10/26/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
73 |
$0.00 |
| 2021 |
12 |
$0.00 |
| 2022 |
24 |
$0.00 |
| 2023 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
28 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
79 |
79 |
$0.00 |