GRAPENTINE, JESSICA
NPI: 1376004960
· SALEM, OR 97301
· Dental Hygienist
· NPI assigned 03/27/2019
$418.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
97 |
$418.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0191 |
|
41 |
34 |
$407.00 |
| D0602 |
|
15 |
15 |
$9.00 |
| D1330 |
|
41 |
34 |
$2.00 |