JANDRAIN, BRIDGETT
NPI: 1982087193
· WAUKESHA, WI 53188
· Dental Hygienist
· NPI assigned 07/07/2015
$180K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,213 |
$65K |
| 2019 |
3,621 |
$56K |
| 2020 |
1,838 |
$27K |
| 2021 |
2,127 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
4,144 |
4,137 |
$53K |
| D1120 |
Prophylaxis - child |
2,094 |
2,091 |
$45K |
| D1351 |
Sealant - per tooth |
2,256 |
783 |
$38K |
| D0191 |
|
2,625 |
2,621 |
$28K |
| D1110 |
Prophylaxis - adult |
472 |
472 |
$13K |
| D1354 |
|
208 |
117 |
$1K |