JOLLY, BRADLEY
NPI: 1518956044
· BRENTWOOD, TN 37027
· General Practice Dentistry
· NPI assigned 10/18/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
319 |
$8K |
| 2019 |
260 |
$7K |
| 2020 |
326 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
220 |
216 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
348 |
340 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
284 |
279 |
$7K |
| D1120 |
Prophylaxis - child |
29 |
29 |
$955.64 |
| D0330 |
Panoramic radiographic image |
24 |
24 |
$920.38 |