Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › SPENCER › JESSEN'S FAMILY DENTISTRY AND DENTAL HYGIENE, P.C

JESSEN'S FAMILY DENTISTRY AND DENTAL HYGIENE, P.C

NPI: 1801267018 · SPENCER, NE 68777 · Dental Clinic/Center · NPI assigned 10/14/2015

$3K
Total Medicaid Paid
171
Total Claims
159
Beneficiaries
5
Codes Billed
2020-06
First Month
2023-10
Last Month

Provider Details

Authorized OfficialJESSEN, JON (PRESIDENT)
NPI Enumeration Date10/14/2015

Related Entities

Other providers sharing the same authorized official: JESSEN, JON

ProviderCityStateTotal Paid
JESSEN'S FAMILY DENTISTRY AND DENTAL HYGIENE, P.C ONEILL NE $127K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 45 $779.48
2021 113 $2K
2023 13 $372.65

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 47 45 $1K
D1999 71 61 $710.01
D0120 Periodic oral evaluation - established patient 25 25 $566.85
D1120 Prophylaxis - child 15 15 $405.30
D0272 Bitewings - two radiographic images 13 13 $162.36