GEDEON, ROSE
NPI: 1063547545
· IMMOKALEE, FL 34142
· Pediatric Dentist
· NPI assigned 02/23/2007
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
197 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
35 |
35 |
$0.00 |
| D1330 |
|
48 |
48 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
37 |
37 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
18 |
16 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
30 |
$0.00 |
| D1120 |
Prophylaxis - child |
28 |
28 |
$0.00 |