JACKSON, ANDREW
NPI: 1356382485
· NEW IBERIA, LA 70560
· Dentist
· NPI assigned 06/09/2006
$102K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
106 |
$9K |
| 2019 |
839 |
$67K |
| 2020 |
190 |
$14K |
| 2021 |
67 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
1,110 |
559 |
$102K |
| D0220 |
Intraoral - periapical first radiographic image |
38 |
38 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
54 |
39 |
$0.00 |