PONGETT, JESSICA
NPI: 1275086456
· OXFORD, MS 38655
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 07/25/2016
$574K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,670 |
$212K |
| 2019 |
1,667 |
$156K |
| 2020 |
693 |
$84K |
| 2021 |
674 |
$80K |
| 2022 |
351 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
4,985 |
4,156 |
$496K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
70 |
69 |
$78K |