MATTSON, JEFFREY
NPI: 1336202456
· BRAINERD, MN 56401
· Dentist
· NPI assigned 12/19/2006
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
93 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
15 |
15 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
62 |
61 |
$0.00 |