STARR, JAKE
NPI: 1265465967
· DEER LODGE, MT 59722
· General Practice Dentistry
· NPI assigned 07/08/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
506 |
$13K |
| 2019 |
241 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
289 |
278 |
$7K |
| D1120 |
Prophylaxis - child |
182 |
177 |
$6K |
| D1206 |
Topical application of fluoride varnish |
178 |
173 |
$4K |
| D1110 |
Prophylaxis - adult |
44 |
40 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
27 |
$896.91 |
| D0272 |
Bitewings - two radiographic images |
26 |
26 |
$537.07 |