JOLLY AND MORTON ADVANCED DENTISTRY
NPI: 1700418068
· BRENTWOOD, TN 37027
· General Practice Dentistry
· NPI assigned 02/05/2020
Provider Details
| Authorized Official | MORTON, SKYLOR (PARTNER) |
| NPI Enumeration Date | 02/05/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
73 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
27 |
26 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
29 |
28 |
$629.35 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$422.64 |