URY, JONATHAN
NPI: 1467945964
· HENDERSON, TX 75654
· General Practice Dentistry
· NPI assigned 06/08/2018
$236.22
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
42 |
$236.22 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
16 |
15 |
$162.72 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$73.50 |
| D0603 |
|
14 |
14 |
$0.00 |