Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › HENDERSON › JACKSON, BRIAN

JACKSON, BRIAN

NPI: 1336308683 · HENDERSON, TX 75652 · Dentist · NPI assigned 06/03/2008

$1K
Total Medicaid Paid
78
Total Claims
78
Beneficiaries
5
Codes Billed
2022-05
First Month
2022-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 78 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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