JONATHAN A MORRIS DDS, PC
NPI: 1164843785
· BETHESDA, MD 20814
· General Practice Dentistry
· NPI assigned 12/27/2013
$203K
Total Medicaid Paid
Provider Details
| Authorized Official | MORRIS, JONATHAN (PRESIDENT/OWNER) |
| NPI Enumeration Date | 12/27/2013 |
Related Entities
Other providers sharing the same authorized official: MORRIS, JONATHAN
| Provider | City | State | Total Paid |
| CUC-LLC |
COLUMBIA |
MO |
$1.34M |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
12 |
$299.04 |
| 2019 |
44 |
$1K |
| 2021 |
59 |
$2K |
| 2022 |
60 |
$2K |
| 2023 |
2,719 |
$157K |
| 2024 |
1,061 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
726 |
711 |
$47K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
288 |
101 |
$35K |
| D1206 |
Topical application of fluoride varnish |
965 |
948 |
$24K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
214 |
68 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
341 |
332 |
$19K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
107 |
57 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
468 |
468 |
$15K |
| D0330 |
Panoramic radiographic image |
293 |
287 |
$13K |
| D0274 |
Bitewings - four radiographic images |
489 |
477 |
$11K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$508.44 |
| D1330 |
|
52 |
52 |
$343.20 |