SZCZUPAKOWSKI, JACQUELINE
NPI: 1720484165
· AMHERST, NY 14226
· Student in an Organized Health Care Education/Training Program
· NPI assigned 11/12/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$1K |
| 2019 |
13 |
$716.30 |
| 2022 |
208 |
$6K |
| 2023 |
13 |
$716.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
142 |
142 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$427.50 |
| D0330 |
Panoramic radiographic image |
17 |
17 |
$342.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$303.05 |
| D0274 |
Bitewings - four radiographic images |
42 |
42 |
$192.85 |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$121.60 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$53.20 |