JEREMY JACKS LAC LLC
NPI: 1356102347
· TIGARD, OR 97223
· Acupuncturist
· NPI assigned 01/17/2024
$618.70
Total Medicaid Paid
Provider Details
| Authorized Official | JACKS, JEREMY (OWNER) |
| NPI Enumeration Date | 01/17/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
38 |
$618.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97813 |
|
19 |
12 |
$342.40 |
| 97814 |
|
19 |
12 |
$276.30 |