PAUL, JABY
NPI: 1750637732
· SOUTHGATE, MI 48195
· Dentist
· NPI assigned 07/27/2012
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
443 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
77 |
77 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
101 |
100 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
99 |
99 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
77 |
77 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$679.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
76 |
76 |
$651.00 |