LARSON, JENNIFER
NPI: 1629156500
· BOYNE CITY, MI 49712
· Dentist
· NPI assigned 11/01/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
701 |
$25K |
| 2019 |
757 |
$30K |
| 2020 |
217 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
588 |
581 |
$15K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
132 |
81 |
$15K |
| D1110 |
Prophylaxis - adult |
232 |
231 |
$11K |
| D1120 |
Prophylaxis - child |
298 |
293 |
$11K |
| D1206 |
Topical application of fluoride varnish |
360 |
357 |
$9K |
| D0274 |
Bitewings - four radiographic images |
65 |
65 |
$2K |