JEONG, JACKSON
NPI: 1992225791
· TEANECK, NJ 07666
· Pediatric Dentist
· NPI assigned 06/22/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$308.08 |
| 2021 |
344 |
$9K |
| 2022 |
1,649 |
$29K |
| 2023 |
1,795 |
$32K |
| 2024 |
1,672 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
841 |
839 |
$36K |
| D1206 |
Topical application of fluoride varnish |
876 |
872 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
799 |
792 |
$20K |
| D0272 |
Bitewings - two radiographic images |
498 |
496 |
$5K |
| D0603 |
|
722 |
715 |
$5K |
| D1351 |
Sealant - per tooth |
140 |
26 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
79 |
79 |
$720.60 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$540.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$187.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
25 |
25 |
$106.18 |
| D1330 |
|
742 |
722 |
$0.00 |
| D1310 |
|
726 |
708 |
$0.00 |
| D1999 |
|
13 |
13 |
$0.00 |