SHARP-WILLIAMS, JERRA
NPI: 1770895914
· KOKOMO, IN 46902
· Dentist
· NPI assigned 07/03/2010
$681.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
101 |
$0.00 |
| 2023 |
145 |
$681.00 |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
47 |
44 |
$414.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
12 |
$267.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
127 |
95 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
15 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
53 |
49 |
$0.00 |