MEDINA, JAQUELINE
NPI: 1477167419
· PORT ARTHUR, TX 77640
· General Practice Dentistry
· NPI assigned 09/08/2020
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
154 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
41 |
41 |
$588.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$346.20 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$163.28 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$149.63 |
| D0603 |
|
73 |
73 |
$0.00 |