LUKE, JASMINE
NPI: 1326746314
· EAST ORANGE, NJ 07018
· Dentist
· NPI assigned 02/20/2023
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
175 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
43 |
43 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$625.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$132.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$65.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$60.00 |
| D1330 |
|
62 |
58 |
$0.00 |