JACOBS, KIMBERLY
NPI: 1265886238
· POTTSTOWN, PA 19464
· Pediatric Dentist
· NPI assigned 04/15/2016
$931.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$931.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$528.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$403.00 |