JACKSON, JAMES
NPI: 1386843050
· NETTLETON, MS 38858
· Dentist
· NPI assigned 07/13/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
50 |
$1K |
| 2021 |
38 |
$852.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
36 |
36 |
$809.20 |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$680.50 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$343.20 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$257.04 |