JACKSON, LOUIS
NPI: 1285040337
· ALBUQUERQUE, NM 87120
· Pediatric Dentist
· NPI assigned 07/09/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
45 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
16 |
16 |
$489.12 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
16 |
$279.36 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$255.45 |