JESSICA J KAKOS DDS, PC
NPI: 1992193882
· FARMINGTON HILLS, MI 48334
· Dentist
· NPI assigned 12/31/2014
Provider Details
| Authorized Official | KAKOS, JESSICA (DENTIST) |
| NPI Enumeration Date | 12/31/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$280.00 |
| 2021 |
75 |
$2K |
| 2022 |
76 |
$2K |
| 2023 |
27 |
$758.00 |
| 2024 |
14 |
$332.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
127 |
127 |
$3K |
| D1120 |
Prophylaxis - child |
39 |
39 |
$1K |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$563.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$314.00 |