PROBST, JAMISON
NPI: 1225489875
· STANLEY, NC 28164
· Dentist
· NPI assigned 06/24/2016
$769.48
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
24 |
$769.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$445.96 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$323.52 |