JUHL, JAKE
NPI: 1760472518
· GARDEN CITY, KS 67846
· General Practice Dentistry
· NPI assigned 10/24/2005
$590.34
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$390.00 |
| 2020 |
15 |
$200.34 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
13 |
13 |
$390.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
12 |
$200.34 |