MAXWELL, JASON
NPI: 1861921751
· ELKHART, IN 46516
· Dentist
· NPI assigned 06/05/2017
$289.25
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$0.00 |
| 2019 |
13 |
$289.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$289.25 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$0.00 |