JONATHAN E MASON DMD PC
NPI: 1215679568
· RUTLAND, VT 05701
· General Practice Dentistry
· NPI assigned 04/08/2022
Provider Details
| Authorized Official | JOHNSON, VICTORIA (VP RCM) |
| Parent Organization | JONATHAN E MASON DMD PC |
| NPI Enumeration Date | 04/08/2022 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, VICTORIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
17 |
$0.00 |
| 2022 |
1,144 |
$9K |
| 2023 |
1,534 |
$38K |
| 2024 |
593 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
946 |
642 |
$34K |
| D0120 |
Periodic oral evaluation - established patient |
918 |
525 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
820 |
498 |
$9K |
| D1120 |
Prophylaxis - child |
224 |
123 |
$4K |
| D1206 |
Topical application of fluoride varnish |
164 |
132 |
$4K |
| D0274 |
Bitewings - four radiographic images |
119 |
53 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
72 |
67 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
25 |
24 |
$154.00 |