YOO, JESSICA
NPI: 1215451760
· CHANTILLY, VA 20151
· Dentist
· NPI assigned 07/26/2017
$700.44
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
24 |
$700.44 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$566.28 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$134.16 |