WINELAND, JORDAN
NPI: 1568954493
· SIOUX CITY, IA 51106
· Dentist
· NPI assigned 06/06/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
40 |
$721.21 |
| 2020 |
219 |
$4K |
| 2021 |
315 |
$6K |
| 2022 |
247 |
$5K |
| 2023 |
130 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
487 |
476 |
$10K |
| D1206 |
Topical application of fluoride varnish |
341 |
327 |
$6K |
| D1110 |
Prophylaxis - adult |
71 |
68 |
$2K |
| D1120 |
Prophylaxis - child |
39 |
39 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$96.15 |