GURDON FAMILY DENTISTRY, INC
NPI: 1023385978
· GURDON, AR 71743
· General Practice Dentistry
· NPI assigned 11/21/2011
$197K
Total Medicaid Paid
Provider Details
| Authorized Official | DELEE, NEAL (PRESIDENT) |
| NPI Enumeration Date | 11/21/2011 |
Related Entities
Other providers sharing the same authorized official: DELEE, NEAL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,916 |
$52K |
| 2019 |
1,370 |
$35K |
| 2020 |
1,000 |
$26K |
| 2021 |
1,045 |
$28K |
| 2022 |
987 |
$27K |
| 2023 |
718 |
$20K |
| 2024 |
319 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,322 |
1,254 |
$62K |
| D0272 |
Bitewings - two radiographic images |
1,821 |
1,724 |
$42K |
| D0120 |
Periodic oral evaluation - established patient |
1,528 |
1,417 |
$40K |
| D1206 |
Topical application of fluoride varnish |
1,937 |
1,821 |
$38K |
| D1120 |
Prophylaxis - child |
224 |
191 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
41 |
39 |
$3K |
| D0603 |
|
353 |
347 |
$2K |
| D2140 |
|
20 |
12 |
$1K |
| D0602 |
|
109 |
109 |
$525.00 |