JONES, JACKIE
NPI: 1689726283
· ACKERMAN, MS 39735
· General Practice Dentistry
· NPI assigned 01/17/2007
$552K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,947 |
$294K |
| 2019 |
9,052 |
$187K |
| 2020 |
2,172 |
$53K |
| 2021 |
867 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
13,083 |
2,141 |
$232K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,095 |
2,735 |
$103K |
| D1120 |
Prophylaxis - child |
4,060 |
3,607 |
$77K |
| D1206 |
Topical application of fluoride varnish |
3,807 |
3,497 |
$67K |
| D0272 |
Bitewings - two radiographic images |
2,979 |
2,645 |
$43K |
| D0140 |
Limited oral evaluation - problem focused |
803 |
782 |
$29K |
| D1208 |
Topical application of fluoride, excluding varnish |
199 |
96 |
$700.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$324.31 |