CLIFTON, JACK
NPI: 1568597631
· STEVENSON, WA 98648
· General Practice Dentistry
· NPI assigned 02/22/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
72 |
$1K |
| 2019 |
75 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
92 |
89 |
$1K |
| D1120 |
Prophylaxis - child |
28 |
27 |
$620.46 |
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$566.44 |