MONGELLI, JESSICA
NPI: 1639212947
· HELENA, MT 59601
· Dentist
· NPI assigned 02/15/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
174 |
$6K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D4910 |
|
34 |
32 |
$2K |
| D4355 |
|
28 |
24 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
86 |
81 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
25 |
$393.13 |