WITTMAN, JESSICA
NPI: 1194776583
· SANTA CLAUS, IN 47579
· General Practice Dentistry
· NPI assigned 05/12/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$365.06 |
| 2019 |
49 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
47 |
41 |
$812.88 |
| D1120 |
Prophylaxis - child |
29 |
27 |
$586.50 |