PETRIE, JAMIE
NPI: 1629232822
· WATERLOO, IA 50703
· Dentist
· NPI assigned 07/16/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
94 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
63 |
62 |
$2K |
| D1120 |
Prophylaxis - child |
15 |
15 |
$727.23 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$438.38 |