GRISSOM, JASON
NPI: 1699921957
· MADISON, MS 39110
· General Practice Dentistry
· NPI assigned 08/18/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
614 |
$12K |
| 2019 |
146 |
$4K |
| 2020 |
193 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
340 |
298 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
261 |
210 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
318 |
275 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
34 |
33 |
$778.28 |