GATEWAY DENTAL
NPI: 1184925653
· MIAMI, FL 33145
· General Practice Dentistry
· NPI assigned 11/15/2010
Provider Details
| Authorized Official | MIRANDA, PABLO (DENTIST) |
| NPI Enumeration Date | 11/15/2010 |
Related Entities
Other providers sharing the same authorized official: MIRANDA, PABLO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
441 |
$8K |
| 2021 |
63 |
$205.00 |
| 2022 |
931 |
$9K |
| 2023 |
439 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
277 |
275 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
372 |
369 |
$6K |
| D1110 |
Prophylaxis - adult |
147 |
146 |
$6K |
| D0274 |
Bitewings - four radiographic images |
159 |
155 |
$3K |
| D0330 |
Panoramic radiographic image |
100 |
99 |
$338.00 |
| D0120 |
Periodic oral evaluation - established patient |
137 |
133 |
$257.00 |
| D0220 |
Intraoral - periapical first radiographic image |
344 |
335 |
$231.47 |
| D0230 |
Intraoral - periapical each additional radiographic image |
270 |
264 |
$18.00 |
| D1330 |
|
41 |
38 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
24 |
$0.00 |