HAEDT, JORDAN
NPI: 1750730560
· HIAWATHA, KS 66434
· Dentist
· NPI assigned 06/13/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$216.24 |
| 2020 |
62 |
$1K |
| 2021 |
13 |
$266.86 |
| 2023 |
15 |
$315.38 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
64 |
59 |
$1K |
| D1120 |
Prophylaxis - child |
26 |
24 |
$664.60 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$216.24 |