SNOW, JACK
NPI: 1629743844
· WEST ORANGE, TX 77630
· General Practice Dentistry
· NPI assigned 08/10/2021
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$0.00 |
| 2023 |
388 |
$0.00 |
| 2024 |
644 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
625 |
620 |
$0.00 |
| D7230 |
|
47 |
29 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
281 |
279 |
$0.00 |
| D7240 |
Removal of impacted tooth - completely bony |
91 |
46 |
$0.00 |