WILSON, JARELL
NPI: 1336694116
· PINON, AZ 86510
· General Practice Dentistry
· NPI assigned 08/22/2016
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
74 |
$0.00 |
| 2023 |
66 |
$0.00 |
| 2024 |
37 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
62 |
62 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
72 |
72 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$0.00 |