GONZALEZ, NATHAN
NPI: 1114369188
· MEXIA, TX 76667
· Public Health Dentist
· NPI assigned 07/19/2013
$174K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
412 |
$9K |
| 2022 |
1,562 |
$40K |
| 2023 |
2,591 |
$62K |
| 2024 |
2,642 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
939 |
910 |
$48K |
| D1120 |
Prophylaxis - child |
910 |
881 |
$31K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,079 |
2,009 |
$29K |
| D0274 |
Bitewings - four radiographic images |
796 |
757 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
814 |
779 |
$22K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
363 |
355 |
$12K |
| D0272 |
Bitewings - two radiographic images |
263 |
259 |
$6K |
| D0330 |
Panoramic radiographic image |
32 |
31 |
$2K |
| D0602 |
|
84 |
82 |
$0.00 |
| D0601 |
|
222 |
216 |
$0.00 |
| D0603 |
|
705 |
689 |
$0.00 |