LUNDQUIST, JON
NPI: 1518030048
· LIGONIER, PA 15658
· Dentist
· NPI assigned 11/15/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
26 |
$5K |
| 2024 |
273 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
174 |
168 |
$34K |
| D1110 |
Prophylaxis - adult |
54 |
54 |
$473.80 |
| D0120 |
Periodic oral evaluation - established patient |
57 |
57 |
$115.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$0.00 |