JARVIS, RONALD
NPI: 1932363165
· KALISPELL, MT 59901
· General Practice Dentistry
· NPI assigned 07/16/2008
$214K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,164 |
$40K |
| 2019 |
1,104 |
$44K |
| 2020 |
995 |
$36K |
| 2021 |
928 |
$34K |
| 2022 |
826 |
$31K |
| 2023 |
562 |
$24K |
| 2024 |
134 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,738 |
1,678 |
$96K |
| D0120 |
Periodic oral evaluation - established patient |
1,312 |
1,272 |
$37K |
| D1206 |
Topical application of fluoride varnish |
1,484 |
1,437 |
$36K |
| D0274 |
Bitewings - four radiographic images |
766 |
747 |
$29K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
65 |
26 |
$6K |
| D1120 |
Prophylaxis - child |
142 |
134 |
$5K |
| D0330 |
Panoramic radiographic image |
51 |
51 |
$3K |
| D0601 |
|
155 |
149 |
$1K |