HANKS, JONATHAN
NPI: 1316268915
· WEST JORDAN, UT 84084
· Dentist
· NPI assigned 06/17/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
803 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
127 |
126 |
$15K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
21 |
13 |
$958.04 |
| D1120 |
Prophylaxis - child |
149 |
149 |
$715.08 |
| D0272 |
Bitewings - two radiographic images |
99 |
98 |
$630.89 |
| D0230 |
Intraoral - periapical each additional radiographic image |
125 |
117 |
$139.00 |
| D0220 |
Intraoral - periapical first radiographic image |
139 |
138 |
$55.92 |
| D1206 |
Topical application of fluoride varnish |
143 |
143 |
$17.87 |