STEVENSON, JEFFREY
NPI: 1437378098
· EFFINGHAM, IL 62401
· General Practice Dentistry
· NPI assigned 04/24/2007
$549K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,500 |
$41K |
| 2019 |
4,098 |
$137K |
| 2020 |
5,475 |
$175K |
| 2021 |
4,494 |
$137K |
| 2022 |
1,067 |
$33K |
| 2023 |
896 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
4,430 |
4,156 |
$179K |
| D1351 |
Sealant - per tooth |
1,742 |
989 |
$119K |
| D0120 |
Periodic oral evaluation - established patient |
4,147 |
3,880 |
$115K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,833 |
2,662 |
$72K |
| D1354 |
|
896 |
628 |
$30K |
| D0272 |
Bitewings - two radiographic images |
2,664 |
2,503 |
$25K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
364 |
324 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
401 |
376 |
$2K |
| D1999 |
|
53 |
51 |
$0.00 |