GILBERT, THOMAS
NPI: 1033231824
· ROYAL OAK, MI 48067
· General Practice Dentistry
· NPI assigned 04/04/2007
$787.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$185.00 |
| 2020 |
13 |
$602.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
13 |
$602.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$185.00 |