FARIS, JONATHAN
NPI: 1750010732
· FOREST GROVE, OR 97116
· General Practice Dentistry
· NPI assigned 06/06/2022
$726.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
24 |
$726.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$517.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$209.00 |