MATTHEW JACOBSEN PEDIATRIC DENTISTRY
NPI: 1902271539
· RIVERTON, UT 84096
· 1223P0221X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
86 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
42 |
38 |
$0.00 |
| D1206 |
|
44 |
40 |
$0.00 |