OLMITO FAMILY DENTISTRY
NPI: 1154791846
· OLMITO, TX 78575
· General Practice Dentistry
· NPI assigned 10/07/2015
Provider Details
| Authorized Official | BRAUNTHAL, GONZALO (OWNER / GENERAL DENTIST) |
| NPI Enumeration Date | 10/07/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
81 |
$1K |
| 2024 |
123 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
55 |
53 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
97 |
87 |
$1K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$356.49 |
| D0602 |
|
40 |
37 |
$0.01 |