WEAVER, JARED
NPI: 1851555650
· SLC, UT 84105
· Dentist
· NPI assigned 07/11/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
195 |
$7K |
| 2019 |
437 |
$19K |
| 2020 |
243 |
$15K |
| 2021 |
305 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
392 |
392 |
$52K |
| D0220 |
Intraoral - periapical first radiographic image |
209 |
209 |
$263.71 |
| D1120 |
Prophylaxis - child |
82 |
82 |
$141.29 |
| D1206 |
Topical application of fluoride varnish |
282 |
282 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
105 |
101 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
86 |
86 |
$0.00 |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$0.00 |