JACKSON, DOUGLAS
NPI: 1457401762
· RED SPRINGS, NC 28377
· Dentist
· NPI assigned 01/11/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
222 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
52 |
50 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
66 |
64 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
37 |
34 |
$447.76 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$310.44 |
| D1208 |
Topical application of fluoride, excluding varnish |
22 |
21 |
$298.68 |
| D0230 |
Intraoral - periapical each additional radiographic image |
21 |
16 |
$260.12 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$233.25 |