JONES AND JONES, DDS, PC
NPI: 1588060727
· MIDLAND, MI 48640
· General Practice Dentistry
· NPI assigned 11/17/2014
$194K
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, SHELLY (DENTIST/PARTNER) |
| NPI Enumeration Date | 11/17/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
466 |
$14K |
| 2019 |
858 |
$25K |
| 2020 |
767 |
$28K |
| 2021 |
1,014 |
$28K |
| 2022 |
1,165 |
$33K |
| 2023 |
1,184 |
$34K |
| 2024 |
967 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
Prophylaxis - child |
1,784 |
1,777 |
$63K |
| D0120 |
Periodic oral evaluation - established patient |
1,948 |
1,942 |
$47K |
| D1206 |
Topical application of fluoride varnish |
2,024 |
2,016 |
$44K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
231 |
148 |
$25K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
74 |
52 |
$6K |
| D0272 |
Bitewings - two radiographic images |
199 |
199 |
$4K |
| D1351 |
Sealant - per tooth |
85 |
24 |
$2K |
| D0274 |
Bitewings - four radiographic images |
39 |
39 |
$1K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$518.00 |