ARBELAEZ, JEFFREY
NPI: 1316403025
· CHAMBERSBURG, PA 17201
· Student in an Organized Health Care Education/Training Program
· NPI assigned 02/18/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
65 |
$2K |
| 2022 |
2,447 |
$60K |
| 2023 |
383 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
968 |
944 |
$33K |
| D1120 |
Prophylaxis - child |
619 |
598 |
$13K |
| D1110 |
Prophylaxis - adult |
274 |
272 |
$8K |
| D1351 |
Sealant - per tooth |
412 |
117 |
$7K |
| D0274 |
Bitewings - four radiographic images |
243 |
239 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
313 |
308 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
26 |
26 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
40 |
40 |
$800.00 |