SHORT, JACKSIE
NPI: 1790207546
· JOPLIN, MO 64804
· General Practice Dentistry
· NPI assigned 07/13/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
373 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
255 |
254 |
$23K |
| D1110 |
Prophylaxis - adult |
16 |
16 |
$1K |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$1K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$1K |
| D1351 |
Sealant - per tooth |
63 |
14 |
$568.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$72.00 |