BRAUER, JACK
NPI: 1407187362
· MIDWAY, UT 84049
· General Practice Dentistry
· NPI assigned 01/15/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
248 |
$12K |
| 2021 |
718 |
$22K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| D4355 |
|
131 |
114 |
$14K |
| D0140 |
Limited oral evaluation - problem focused |
297 |
258 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
132 |
106 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
202 |
154 |
$4K |
| D1110 |
Prophylaxis - adult |
47 |
43 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
20 |
14 |
$1K |
| D9995 |
|
137 |
112 |
$0.00 |