SHAWN D JENSEN DDS,PA
NPI: 1750574042
· HUTCHINSON, KS 67502
· Dental Clinic/Center
· NPI assigned 08/21/2007
Provider Details
| Authorized Official | JENSEN, SHAWN (DENTIST) |
| NPI Enumeration Date | 08/21/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,390 |
$32K |
| 2019 |
1,368 |
$34K |
| 2023 |
51 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
1,456 |
190 |
$35K |
| D1110 |
Prophylaxis - adult |
275 |
267 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
417 |
404 |
$7K |
| D0274 |
Bitewings - four radiographic images |
286 |
277 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
268 |
264 |
$5K |
| D2394 |
|
40 |
13 |
$2K |
| D1206 |
Topical application of fluoride varnish |
39 |
39 |
$765.96 |
| D1120 |
Prophylaxis - child |
15 |
14 |
$420.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$141.00 |