JESKO, JENNIFER
NPI: 1407300353
· KYLE, TX 78640
· Student in an Organized Health Care Education/Training Program
· NPI assigned 08/09/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
312 |
$5K |
| 2022 |
586 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1354 |
|
211 |
65 |
$3K |
| D1120 |
Prophylaxis - child |
160 |
160 |
$3K |
| D1206 |
Topical application of fluoride varnish |
163 |
163 |
$2K |
| D1351 |
Sealant - per tooth |
80 |
24 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
58 |
58 |
$2K |
| D0272 |
Bitewings - two radiographic images |
103 |
103 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
55 |
55 |
$871.08 |
| D0230 |
Intraoral - periapical each additional radiographic image |
37 |
30 |
$185.00 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
31 |
$155.00 |