G & G DENTAL GROUP, LLC
NPI: 1083275457
· WASHINGTON, DC 20012
· Dental Clinic/Center
· NPI assigned 06/25/2019
$105K
Total Medicaid Paid
Provider Details
| Authorized Official | WARNER, GARY (OWNER) |
| NPI Enumeration Date | 06/25/2019 |
Related Entities
Other providers sharing the same authorized official: WARNER, GARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
734 |
$31K |
| 2023 |
1,289 |
$47K |
| 2024 |
758 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
503 |
500 |
$35K |
| D0120 |
Periodic oral evaluation - established patient |
748 |
744 |
$24K |
| D1208 |
Topical application of fluoride, excluding varnish |
583 |
578 |
$14K |
| D0190 |
|
334 |
334 |
$10K |
| D0191 |
|
333 |
333 |
$10K |
| D0274 |
Bitewings - four radiographic images |
120 |
120 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
20 |
12 |
$3K |
| D1206 |
Topical application of fluoride varnish |
81 |
81 |
$2K |
| D1120 |
Prophylaxis - child |
28 |
28 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
14 |
$196.00 |