TREVOR K. GARDNER DMD LLC
NPI: 1033894357
· POWELL, WY 82435
· Dental Clinic/Center
· NPI assigned 06/15/2023
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
46 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
19 |
17 |
$682.56 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
12 |
$469.26 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$468.00 |