JOHNSON, JAY
NPI: 1851302210
· PEYTON, CO 80831
· Dentist
· NPI assigned 08/11/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
133 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
15 |
12 |
$7K |
| D1110 |
Prophylaxis - adult |
25 |
23 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
19 |
15 |
$723.90 |
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$552.50 |
| D0274 |
Bitewings - four radiographic images |
18 |
16 |
$516.60 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$397.68 |
| D0220 |
Intraoral - periapical first radiographic image |
19 |
19 |
$230.66 |