GRATZ, KIRSTINA
NPI: 1083992689
· GOSHEN, IN 46528
· Dentist
· NPI assigned 07/30/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
107 |
$937.73 |
| 2021 |
14 |
$313.46 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
28 |
$470.19 |
| D1120 |
Prophylaxis - child |
17 |
17 |
$310.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
14 |
$248.50 |
| D0240 |
|
25 |
13 |
$222.00 |
| D1330 |
|
18 |
18 |
$0.00 |
| D1310 |
|
18 |
18 |
$0.00 |