EATON, JEANINE
NPI: 1548444375
· YPSILANTI, MI 48197
· Dentist
· NPI assigned 12/28/2007
$761.51
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
30 |
$761.51 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$451.00 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$310.51 |