OFICINA DENTAL DR GOMEZ, C.S.P.
NPI: 1033571401
· GUYNABO, PR 00969
· General Practice Dentistry
· NPI assigned 03/24/2016
Provider Details
| Authorized Official | GOMEZ, JOSE (DENTIST) |
| NPI Enumeration Date | 03/24/2016 |
Related Entities
Other providers sharing the same authorized official: GOMEZ, JOSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
563 |
$10K |
| 2022 |
1,001 |
$18K |
| 2023 |
739 |
$16K |
| 2024 |
1,091 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,129 |
881 |
$36K |
| D0120 |
Periodic oral evaluation - established patient |
951 |
723 |
$15K |
| D1999 |
|
812 |
780 |
$12K |
| D0272 |
Bitewings - two radiographic images |
446 |
348 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
26 |
$579.70 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$401.18 |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
12 |
$252.11 |