MARSHALL, JORDAN
NPI: 1609238344
· WESTERVILLE, OH 43081
· General Practice Dentistry
· NPI assigned 03/22/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
314 |
$9K |
| 2021 |
230 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
165 |
165 |
$6K |
| D0330 |
Panoramic radiographic image |
119 |
118 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
116 |
116 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
70 |
70 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
18 |
12 |
$921.78 |
| D0140 |
Limited oral evaluation - problem focused |
29 |
27 |
$584.08 |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$540.00 |