KELLER, JESSICA
NPI: 1326301144
· HOPEWELL, VA 23860
· Dentist
· NPI assigned 06/18/2012
$288.20
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$288.20 |
| 2024 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$288.20 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$0.00 |