JACKSON-BREEDEN, DAWN
NPI: 1245307024
· BENTON, IL 62812
· General Practice Dentistry
· NPI assigned 11/29/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
441 |
$10K |
| 2019 |
204 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
148 |
128 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
139 |
128 |
$3K |
| D1206 |
Topical application of fluoride varnish |
147 |
127 |
$3K |
| D1351 |
Sealant - per tooth |
104 |
27 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$97.20 |
| D0601 |
|
77 |
69 |
$0.10 |
| D0602 |
|
16 |
13 |
$0.00 |