GROSS, JAMIE
NPI: 1538398284
· SANBORN, IA 51248
· General Practice Dentistry
· NPI assigned 07/02/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
314 |
$7K |
| 2022 |
39 |
$1K |
| 2024 |
25 |
$555.86 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
171 |
165 |
$4K |
| D1206 |
Topical application of fluoride varnish |
152 |
147 |
$3K |
| D1110 |
Prophylaxis - adult |
29 |
29 |
$1K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$957.16 |