JACKSON, BRIAN
NPI: 1336308683
· HENDERSON, TX 75652
· Dentist
· NPI assigned 06/03/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
78 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$519.30 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$441.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
18 |
18 |
$264.60 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$163.66 |
| D0602 |
|
18 |
18 |
$0.00 |