JACOBSON, DAVID
NPI: 1386924785
· SARATOGA SPRINGS, UT 84045
· Pediatric Dentist
· NPI assigned 08/17/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
618 |
$15K |
| 2024 |
1,281 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
440 |
440 |
$17K |
| D1206 |
Topical application of fluoride varnish |
417 |
414 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
223 |
222 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
152 |
150 |
$5K |
| D0272 |
Bitewings - two radiographic images |
207 |
207 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
230 |
227 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
230 |
212 |
$2K |