GATEWAY DENTAL INC
NPI: 1063869774
· MIAMI GARDENS, FL 33179
· Dentist
· NPI assigned 05/23/2016
Provider Details
| Authorized Official | MIRANDA, PABLO (OWNER) |
| NPI Enumeration Date | 05/23/2016 |
Related Entities
Other providers sharing the same authorized official: MIRANDA, PABLO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
266 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
43 |
43 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$544.61 |
| D0220 |
Intraoral - periapical first radiographic image |
55 |
55 |
$253.91 |
| D1208 |
Topical application of fluoride, excluding varnish |
29 |
29 |
$140.78 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$87.95 |
| D0120 |
Periodic oral evaluation - established patient |
40 |
40 |
$32.88 |
| D1330 |
|
25 |
25 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
48 |
48 |
$0.00 |