JASON AANENSON, DDS, PC
NPI: 1790835015
· FREEMAN, SD 57029
· General Practice Dentistry
· NPI assigned 01/11/2007
$166K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
739 |
$22K |
| 2019 |
507 |
$15K |
| 2020 |
161 |
$5K |
| 2021 |
438 |
$14K |
| 2022 |
962 |
$34K |
| 2023 |
1,069 |
$36K |
| 2024 |
941 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
1,742 |
1,722 |
$43K |
| D0120 |
Periodic oral evaluation - established patient |
1,384 |
1,370 |
$43K |
| D1120 |
Prophylaxis - child |
853 |
837 |
$35K |
| D1110 |
Prophylaxis - adult |
596 |
594 |
$34K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
79 |
78 |
$4K |
| D0274 |
Bitewings - four radiographic images |
77 |
77 |
$3K |
| D0272 |
Bitewings - two radiographic images |
59 |
57 |
$2K |
| D9410 |
|
14 |
13 |
$543.06 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$307.71 |