GRUDEN, JESSICA
NPI: 1902323306
· RIVERVIEW, FL 33569
· General Practice Dentistry
· NPI assigned 08/25/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
230 |
$5K |
| 2019 |
50 |
$768.60 |
| 2020 |
13 |
$187.88 |
| 2021 |
145 |
$2K |
| 2022 |
134 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
474 |
471 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
75 |
75 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
23 |
13 |
$1K |