MARTINEAU, JACOB
NPI: 1518207554
· PLEASANT VIEW, UT 84404
· Pediatric Dentist
· NPI assigned 02/28/2013
1,941
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,101 |
$23K |
| 2024 |
851 |
$21K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
447 |
447 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
407 |
406 |
$9K |
| D1206 |
Topical application of fluoride varnish |
411 |
411 |
$7K |
| D0272 |
Bitewings - two radiographic images |
262 |
261 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
255 |
254 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
157 |
150 |
$2K |
| D0274 |
Bitewings - four radiographic images |
13 |
12 |
$284.09 |