JATIVA, WENDY
NPI: 1790976884
· CLINTON, MI 49236
· Dentist
· NPI assigned 08/05/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
34 |
$984.00 |
| 2020 |
24 |
$560.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
44 |
44 |
$1K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$480.00 |