JONES, JACKIE
NPI: 1902210297
· FOREST, MS 39074
· General Practice Dentistry
· NPI assigned 06/16/2014
$295K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,896 |
$154K |
| 2019 |
5,156 |
$103K |
| 2020 |
1,166 |
$23K |
| 2021 |
647 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
4,706 |
1,167 |
$97K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,004 |
1,663 |
$64K |
| D1120 |
Prophylaxis - child |
2,716 |
2,054 |
$45K |
| D1206 |
Topical application of fluoride varnish |
2,500 |
2,119 |
$43K |
| D0272 |
Bitewings - two radiographic images |
2,291 |
1,734 |
$27K |
| D0140 |
Limited oral evaluation - problem focused |
454 |
450 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
20 |
20 |
$515.60 |
| D1208 |
Topical application of fluoride, excluding varnish |
174 |
39 |
$0.00 |