CULLUM, JEANNINE
NPI: 1407036072
· SAN AUGUSTINE, TX 75972
· General Practice Dentistry
· NPI assigned 11/12/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$172.82 |
| 2022 |
50 |
$612.14 |
| 2023 |
110 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
36 |
36 |
$525.62 |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
40 |
$474.48 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$441.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$403.90 |
| D0230 |
Intraoral - periapical each additional radiographic image |
27 |
25 |
$309.75 |
| D0601 |
|
30 |
27 |
$0.00 |
| D0603 |
|
13 |
12 |
$0.00 |