JACOBS, STACEY
NPI: 1831239847
· CASTROVILLE, TX 78009
· General Practice Dentistry
· NPI assigned 02/07/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$0.00 |
| 2021 |
639 |
$11K |
| 2022 |
535 |
$10K |
| 2023 |
342 |
$5K |
| 2024 |
273 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
494 |
494 |
$14K |
| D1120 |
Prophylaxis - child |
208 |
208 |
$8K |
| D1206 |
Topical application of fluoride varnish |
212 |
212 |
$3K |
| D0274 |
Bitewings - four radiographic images |
80 |
80 |
$3K |
| D0272 |
Bitewings - two radiographic images |
70 |
70 |
$2K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$823.20 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$220.50 |
| D0603 |
|
707 |
707 |
$0.00 |