JEROD BRAZEAL, DDS, PLLC
NPI: 1538660949
· BENBROOK, TX 76109
· Pediatric Dentist
· NPI assigned 02/22/2018
$191K
Total Medicaid Paid
Provider Details
| Authorized Official | BRAZEAL, JEROD (OWNER) |
| NPI Enumeration Date | 02/22/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
211 |
$3K |
| 2021 |
2,941 |
$55K |
| 2022 |
3,122 |
$59K |
| 2023 |
2,463 |
$44K |
| 2024 |
1,802 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,368 |
2,338 |
$63K |
| D1120 |
Prophylaxis - child |
1,784 |
1,762 |
$61K |
| D1206 |
Topical application of fluoride varnish |
2,377 |
2,348 |
$33K |
| D0272 |
Bitewings - two radiographic images |
883 |
875 |
$19K |
| D1110 |
Prophylaxis - adult |
130 |
129 |
$6K |
| D0145 |
Oral evaluation for a patient under three years of age |
35 |
32 |
$5K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
101 |
93 |
$2K |
| D1351 |
Sealant - per tooth |
81 |
41 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
94 |
91 |
$1K |
| D0603 |
|
2,673 |
2,651 |
$0.00 |
| D0602 |
|
13 |
13 |
$0.00 |