DICKSON, JERRY
NPI: 1679569537
· CHANDLER, OK 74834
· Dentist
· NPI assigned 09/26/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$183.17 |
| 2019 |
12 |
$243.96 |
| 2020 |
58 |
$1K |
| 2021 |
166 |
$5K |
| 2022 |
282 |
$7K |
| 2023 |
348 |
$8K |
| 2024 |
107 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
257 |
257 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
329 |
329 |
$7K |
| D1110 |
Prophylaxis - adult |
78 |
78 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
139 |
139 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
143 |
142 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
26 |
14 |
$2K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$426.86 |