HERNANDEZ, JONATHAN
NPI: 1295345924
· SAN ANGELO, TX 76904
· Dentist
· NPI assigned 08/07/2020
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
190 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
34 |
33 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
37 |
35 |
$1K |
| D0330 |
Panoramic radiographic image |
14 |
13 |
$663.29 |
| D1208 |
Topical application of fluoride, excluding varnish |
39 |
37 |
$543.90 |
| D0272 |
Bitewings - two radiographic images |
19 |
18 |
$420.84 |
| D0603 |
|
47 |
45 |
$0.00 |