ACKERMAN, JACK
NPI: 1922084276
· BLOOMINGTON, CA 92316
· General Practice Dentistry
· NPI assigned 12/19/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
188 |
$5K |
| 2019 |
411 |
$14K |
| 2020 |
182 |
$4K |
| 2021 |
62 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
172 |
171 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
152 |
150 |
$6K |
| D9430 |
|
130 |
121 |
$4K |
| D1120 |
Prophylaxis - child |
76 |
73 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
61 |
59 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
183 |
181 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
56 |
14 |
$226.80 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$138.00 |