PAGE, JACQUELINE
NPI: 1841811429
· RIPON, WI 54971
· Dental Hygienist
· NPI assigned 05/05/2020
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
1,811 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
Prophylaxis - child |
338 |
338 |
$10K |
| D1206 |
Topical application of fluoride varnish |
535 |
534 |
$10K |
| D0191 |
|
488 |
488 |
$7K |
| D1110 |
Prophylaxis - adult |
147 |
147 |
$6K |
| D1351 |
Sealant - per tooth |
234 |
117 |
$6K |
| D1354 |
|
69 |
34 |
$691.38 |