JACOBS, LETICIA
NPI: 1407037906
· SOUTH GATE, CA 90280
· Dentist
· NPI assigned 11/26/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
375 |
$7K |
| 2019 |
265 |
$8K |
| 2020 |
88 |
$2K |
| 2021 |
28 |
$1K |
| 2022 |
95 |
$5K |
| 2023 |
115 |
$6K |
| 2024 |
65 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
419 |
416 |
$19K |
| D1120 |
Prophylaxis - child |
389 |
379 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
211 |
210 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$165.00 |