BLANCO, JESSICA
NPI: 1578995411
· JUNEAU, AK 99801
· Pediatric Dentist
· NPI assigned 08/02/2013
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
179 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
54 |
51 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
14 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
84 |
81 |
$0.00 |