SMITH, JERRY B.
NPI: 1659393916
· JASPER, FL 32052
· General Practice Dentistry
· NPI assigned 07/24/2006
3,120
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
873 |
$16K |
| 2021 |
199 |
$4K |
| 2022 |
2,042 |
$39K |
| 2023 |
39 |
$624.52 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
275 |
274 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
546 |
539 |
$20K |
| D0330 |
Panoramic radiographic image |
112 |
111 |
$9K |
| D1120 |
Prophylaxis - child |
364 |
360 |
$6K |
| D0274 |
Bitewings - four radiographic images |
443 |
437 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
73 |
73 |
$493.18 |
| D1206 |
Topical application of fluoride varnish |
620 |
614 |
$45.93 |
| D1330 |
|
687 |
681 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$0.00 |
| D0601 |
|
20 |
18 |
$0.00 |