JACKSON, HANNAH
NPI: 1396397048
· NEW ALBANY, IN 47150
· Pediatric Dentist
· NPI assigned 07/12/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
537 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
134 |
128 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
117 |
109 |
$3K |
| D1206 |
Topical application of fluoride varnish |
140 |
135 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
106 |
37 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
40 |
$507.00 |