DESIMONE, JEFFREY
NPI: 1467148858
· RANDOLPH, NJ 07869
· General Practice Dentistry
· NPI assigned 04/18/2023
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
226 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
53 |
53 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
81 |
81 |
$2K |
| D1206 |
Topical application of fluoride varnish |
41 |
41 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
36 |
36 |
$900.00 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$675.00 |