GANNON, MOLLY
NPI: 1083791784
· HAMILTON, MT 59840
· General Practice Dentistry
· NPI assigned 11/01/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
95 |
$3K |
| 2019 |
76 |
$2K |
| 2020 |
104 |
$4K |
| 2021 |
13 |
$382.60 |
| 2022 |
12 |
$438.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
247 |
237 |
$8K |
| D1206 |
Topical application of fluoride varnish |
41 |
41 |
$947.29 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$771.42 |