YI, JESSICA
NPI: 1699269522
· ALPHARETTA, GA 30022
· Pediatric Dentist
· NPI assigned 06/14/2018
$180K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
66 |
$3K |
| 2021 |
1,287 |
$52K |
| 2022 |
1,122 |
$45K |
| 2023 |
1,414 |
$57K |
| 2024 |
752 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,444 |
1,395 |
$74K |
| D0120 |
Periodic oral evaluation - established patient |
1,393 |
1,344 |
$57K |
| D1206 |
Topical application of fluoride varnish |
1,519 |
1,471 |
$43K |
| D0272 |
Bitewings - two radiographic images |
174 |
164 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
85 |
79 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$648.00 |
| D1110 |
Prophylaxis - adult |
14 |
13 |
$513.00 |