MOSS, JACK
NPI: 1518077585
· ARVADA, CO 80003
· General Practice Dentistry
· NPI assigned 08/30/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
77 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
22 |
18 |
$883.52 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
13 |
$565.80 |
| D0120 |
Periodic oral evaluation - established patient |
25 |
23 |
$547.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
13 |
$180.30 |