WESTOVER, JERRY
NPI: 1558774570
· SAN MARCOS, TX 78666
· Dentist
· NPI assigned 06/06/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
138 |
$3K |
| 2024 |
382 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
94 |
93 |
$3K |
| D1120 |
Prophylaxis - child |
51 |
50 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
100 |
99 |
$1K |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$761.42 |
| D0220 |
Intraoral - periapical first radiographic image |
55 |
52 |
$653.12 |
| D0272 |
Bitewings - two radiographic images |
28 |
28 |
$631.26 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$548.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
46 |
46 |
$529.46 |
| D0240 |
|
30 |
15 |
$235.20 |
| D0603 |
|
80 |
80 |
$0.00 |