Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › GALLUP › JENNINGS, JACOB

JENNINGS, JACOB

NPI: 1346644671 · GALLUP, NM 87301 · Dentist · NPI assigned 10/15/2014

$538.86
Total Medicaid Paid
39
Total Claims
39
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $392.94
2019 12 $145.92

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 24 24 $276.96
D1208 Topical application of fluoride, excluding varnish 15 15 $261.90