LOUIE, JACK
NPI: 1487901740
· BOSTON, MA 02116
· Dentist Anesthesiologist
· NPI assigned 08/06/2012
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
175 |
$4K |
| 2020 |
96 |
$2K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
118 |
118 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
86 |
86 |
$2K |
| D1120 |
Prophylaxis - child |
54 |
54 |
$2K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$506.00 |