ELLIS, JEREMY
NPI: 1568558468
· LOGAN, UT 84321
· General Practice Dentistry
· NPI assigned 10/05/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
55 |
$3K |
| 2023 |
12 |
$346.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
41 |
41 |
$3K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$76.96 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$0.00 |