JABBOURE, JOSE
NPI: 1649378936
· LORAIN, OH 44053
· General Practice Dentistry
· NPI assigned 09/20/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
338 |
$12K |
| 2019 |
12 |
$292.49 |
| 2020 |
12 |
$264.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
104 |
104 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
137 |
137 |
$3K |
| D2394 |
|
30 |
17 |
$2K |
| D1110 |
Prophylaxis - adult |
37 |
36 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
42 |
42 |
$663.49 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$222.00 |