JACKSON, BRETT
NPI: 1184835787
· LAYTON, UT 84041
· General Practice Dentistry
· NPI assigned 05/24/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
452 |
$12K |
| 2019 |
345 |
$10K |
| 2020 |
91 |
$4K |
| 2021 |
166 |
$6K |
| 2022 |
48 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
272 |
253 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
91 |
79 |
$7K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
20 |
13 |
$880.06 |
| D0330 |
Panoramic radiographic image |
15 |
12 |
$705.78 |
| D1206 |
Topical application of fluoride varnish |
31 |
26 |
$140.64 |
| D0274 |
Bitewings - four radiographic images |
477 |
421 |
$66.70 |
| D1120 |
Prophylaxis - child |
102 |
94 |
$35.00 |
| D1110 |
Prophylaxis - adult |
94 |
87 |
$0.00 |