BANKS, JESSIE
NPI: 1326180811
· BREMERTON, WA 98311
· Pediatric Dentist
· NPI assigned 02/13/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,469 |
$27K |
| 2019 |
1,834 |
$35K |
| 2020 |
260 |
$5K |
| 2021 |
190 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,057 |
1,048 |
$24K |
| D1120 |
Prophylaxis - child |
987 |
976 |
$21K |
| D1206 |
Topical application of fluoride varnish |
1,083 |
1,068 |
$16K |
| D1351 |
Sealant - per tooth |
163 |
44 |
$3K |
| D0272 |
Bitewings - two radiographic images |
323 |
323 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
100 |
98 |
$2K |
| D0330 |
Panoramic radiographic image |
15 |
14 |
$595.70 |
| D0240 |
|
25 |
13 |
$204.93 |