HOUSE, JERALD
NPI: 1710989827
· HOOD RIVER, OR 97031
· Pediatric Dentist
· NPI assigned 06/01/2005
$348.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$40.00 |
| 2024 |
14 |
$308.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
14 |
13 |
$308.00 |
| D0601 |
|
12 |
12 |
$40.00 |