BOC, JESSICA
NPI: 1225445786
· SMITHFIELD, NC 27577
· General Practice Dentistry
· NPI assigned 07/16/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,320 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
191 |
155 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
208 |
172 |
$6K |
| D0274 |
Bitewings - four radiographic images |
185 |
162 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
310 |
257 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
376 |
225 |
$2K |
| D1120 |
Prophylaxis - child |
17 |
16 |
$720.00 |
| D1206 |
Topical application of fluoride varnish |
20 |
18 |
$560.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
12 |
$398.88 |