WOODS, JACOB
NPI: 1538720446
· DIMMITT, TX 79027
· Dentist
· NPI assigned 06/23/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
255 |
$4K |
| 2023 |
1,689 |
$27K |
| 2024 |
62 |
$580.34 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
451 |
55 |
$10K |
| D1120 |
Prophylaxis - child |
172 |
154 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
155 |
144 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
533 |
191 |
$4K |
| D1206 |
Topical application of fluoride varnish |
265 |
235 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
219 |
197 |
$2K |
| D0274 |
Bitewings - four radiographic images |
43 |
43 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
33 |
30 |
$807.80 |
| D0603 |
|
135 |
126 |
$0.00 |