JAGDEEP DHALL, D.M.D., P.A.
NPI: 1770100976
· LAKE MARY, FL 32746
· Dental Clinic/Center
· NPI assigned 07/03/2020
Provider Details
| Authorized Official | DHALL, JAGDEEP (DENTIST) |
| NPI Enumeration Date | 07/03/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
26 |
$0.00 |
| 2022 |
826 |
$12K |
| 2023 |
26 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
111 |
111 |
$8K |
| D1120 |
Prophylaxis - child |
88 |
87 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
104 |
103 |
$943.00 |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$722.00 |
| D0274 |
Bitewings - four radiographic images |
96 |
96 |
$38.00 |
| D1206 |
Topical application of fluoride varnish |
210 |
209 |
$32.00 |
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$0.00 |
| D1330 |
|
215 |
215 |
$0.00 |