WHITE, JENNIFER
NPI: 1164590691
· MANTON, MI 49663
· General Practice Dentistry
· NPI assigned 12/01/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$252.00 |
| 2020 |
43 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$588.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$480.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$325.00 |