THE FRIENDLY FLOSSER DENTAL HYGIENE PRACTICE OF JENNIFER NOWOTNEY
NPI: 1740911643
· RANCHO CUCAMONGA, CA 91730
· Dental Hygienist
· NPI assigned 06/21/2022
$104K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
80 |
$3K |
| 2023 |
1,698 |
$59K |
| 2024 |
1,156 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
705 |
705 |
$35K |
| D1310 |
|
683 |
683 |
$30K |
| D1206 |
Topical application of fluoride varnish |
714 |
714 |
$21K |
| D9920 |
|
66 |
66 |
$8K |
| D0601 |
|
334 |
334 |
$5K |
| D0603 |
|
268 |
268 |
$4K |
| D0602 |
|
20 |
20 |
$300.00 |
| D0190 |
|
144 |
144 |
$0.00 |