DEVEREUX, JACK
NPI: 1376620906
· SLIDELL, LA 70461
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 11/01/2006
$392K
Total Medicaid Paid
3,105
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,173 |
$352K |
| 2019 |
468 |
$41K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
3,437 |
2,902 |
$352K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
30 |
29 |
$31K |
| D9310 |
|
58 |
58 |
$3K |
| D0340 |
|
58 |
58 |
$3K |
| D0330 |
Panoramic radiographic image |
58 |
58 |
$3K |