JENSEN, TIM
NPI: 1922102938
· OSHKOSH, NE 69154
· Dentist
· NPI assigned 09/11/2006
$420.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$420.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$264.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$156.00 |