FELLOWS, JACQUELINE
NPI: 1750317368
· BRATTLEBORO, VT 05301
· Dentist
· NPI assigned 06/24/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$802.00 |
| 2019 |
67 |
$1K |
| 2020 |
59 |
$1K |
| 2021 |
56 |
$2K |
| 2022 |
81 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
139 |
135 |
$3K |
| D1110 |
Prophylaxis - adult |
56 |
52 |
$2K |
| D1206 |
Topical application of fluoride varnish |
97 |
91 |
$2K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$374.00 |