FOX, JOHN
NPI: 1699880518
· SWEETWATER, TN 37874
· Dentist
· NPI assigned 08/20/2006
$134K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,001 |
$26K |
| 2019 |
1,058 |
$28K |
| 2020 |
659 |
$18K |
| 2021 |
816 |
$23K |
| 2022 |
657 |
$18K |
| 2023 |
509 |
$14K |
| 2024 |
298 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,571 |
1,535 |
$37K |
| D1110 |
Prophylaxis - adult |
832 |
816 |
$35K |
| D1206 |
Topical application of fluoride varnish |
1,507 |
1,484 |
$31K |
| D1120 |
Prophylaxis - child |
595 |
590 |
$19K |
| D0274 |
Bitewings - four radiographic images |
427 |
420 |
$11K |
| D0330 |
Panoramic radiographic image |
29 |
28 |
$1K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$238.42 |
| D1999 |
|
24 |
24 |
$0.00 |