GALLEGO, DORA
NPI: 1164660379
· POWAY, CA 92064
· Dentist
· NPI assigned 01/26/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
677 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
103 |
103 |
$7K |
| D1110 |
Prophylaxis - adult |
75 |
75 |
$6K |
| D0330 |
Panoramic radiographic image |
101 |
101 |
$3K |
| D0272 |
Bitewings - two radiographic images |
95 |
94 |
$1K |
| D9430 |
|
26 |
26 |
$832.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
52 |
52 |
$649.00 |
| D1206 |
Topical application of fluoride varnish |
30 |
30 |
$480.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$144.00 |
| D1330 |
|
93 |
92 |
$0.00 |
| D1310 |
|
90 |
90 |
$0.00 |