JACKQUELINE MCLEAN DDS LLC
NPI: 1497219489
· BRIDGEPORT, CT 06604
· General Practice Dentistry
· NPI assigned 01/24/2019
Provider Details
| Authorized Official | MCLEAN, JACKQUELINE (OWNER) |
| Parent Organization | JACKQUELINE MCLEAN DDS LLC |
| NPI Enumeration Date | 01/24/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
100 |
$3K |
| 2020 |
41 |
$789.96 |
| 2021 |
250 |
$7K |
| 2022 |
38 |
$858.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
179 |
175 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
104 |
102 |
$2K |
| D1120 |
Prophylaxis - child |
37 |
37 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
30 |
$2K |
| D1110 |
Prophylaxis - adult |
46 |
45 |
$1K |
| D0274 |
Bitewings - four radiographic images |
33 |
32 |
$997.44 |