HELBIG, JEANNE
NPI: 1356720171
· CLARKS GREEN, PA 18411
· General Practice Dentistry
· NPI assigned 05/26/2015
$708.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
57 |
$708.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$356.40 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$194.40 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
16 |
$103.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
15 |
$53.40 |