LOESCH, JACQUELINE
NPI: 1922406131
· COLORADO SPRINGS, CO 80909
· Dental Hygienist
· NPI assigned 12/22/2014
$197K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
984 |
$123K |
| 2019 |
598 |
$74K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
717 |
396 |
$158K |
| D1206 |
Topical application of fluoride varnish |
702 |
388 |
$30K |
| D0190 |
|
163 |
86 |
$9K |