FAIRBANKS, JONATHAN
NPI: 1316166218
· PULLMAN, WA 99163
· Dentist
· NPI assigned 04/25/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
306 |
$2K |
| 2019 |
860 |
$12K |
| 2021 |
102 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
47 |
47 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
40 |
40 |
$6K |
| D1120 |
Prophylaxis - child |
205 |
205 |
$277.08 |
| D0220 |
Intraoral - periapical first radiographic image |
163 |
163 |
$66.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
490 |
162 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
26 |
26 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
204 |
204 |
$0.00 |
| D1351 |
Sealant - per tooth |
47 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
46 |
46 |
$0.00 |