JANIS, JORDAN
NPI: 1740630136
· COTTONWOOD, AZ 86326
· Dentist
· NPI assigned 06/15/2016
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
338 |
$0.00 |
| 2019 |
86 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
44 |
34 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
48 |
37 |
$0.00 |
| D1330 |
|
66 |
54 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
227 |
188 |
$0.00 |
| D1120 |
Prophylaxis - child |
39 |
31 |
$0.00 |