CARROLL, JACOB
NPI: 1205192663
· GLENDALE, AZ 85308
· Student in an Organized Health Care Education/Training Program
· NPI assigned 04/10/2012
$34.95
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,552 |
$34.95 |
| 2019 |
1,655 |
$0.00 |
| 2020 |
785 |
$0.00 |
| 2021 |
1,205 |
$0.00 |
| 2022 |
720 |
$0.00 |
| 2023 |
531 |
$0.00 |
| 2024 |
365 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
3,274 |
2,904 |
$34.95 |
| D7240 |
Removal of impacted tooth - completely bony |
379 |
158 |
$0.00 |
| D0364 |
|
14 |
12 |
$0.00 |
| D0330 |
Panoramic radiographic image |
2,730 |
2,427 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
402 |
219 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
14 |
13 |
$0.00 |