DR. JENNIFER N. BOLES, DDS, LLC
NPI: 1225308398
· RAYVILLE, LA 71269
· 1223G0001X
$436K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,603 |
$55K |
| 2019 |
3,164 |
$105K |
| 2020 |
205 |
$8K |
| 2021 |
845 |
$30K |
| 2022 |
1,136 |
$35K |
| 2023 |
3,587 |
$141K |
| 2024 |
1,308 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
2,544 |
2,449 |
$89K |
| D0330 |
|
1,387 |
1,322 |
$76K |
| D2392 |
|
587 |
337 |
$61K |
| D0120 |
|
1,822 |
1,734 |
$51K |
| D1110 |
|
979 |
933 |
$47K |
| D1208 |
|
2,292 |
2,203 |
$46K |
| D0272 |
|
1,167 |
1,108 |
$25K |
| D0150 |
|
369 |
321 |
$16K |
| D1206 |
|
391 |
386 |
$11K |
| D2391 |
|
110 |
71 |
$8K |
| D2393 |
|
17 |
13 |
$3K |
| D0220 |
|
133 |
111 |
$2K |
| D7140 |
|
24 |
12 |
$1K |
| D0140 |
|
26 |
26 |
$345.00 |