GABLES FAMILY DENTAL, INC.
NPI: 1194953950
· CORAL GABLES, FL 33145
· Prosthodontist
· NPI assigned 06/30/2009
Provider Details
| Authorized Official | TOBON, ELIAS (PRESIDENT) |
| Parent Organization | GABLES SMILE & COSMETIC DENTISTRY, INC. |
| NPI Enumeration Date | 06/30/2009 |
Related Entities
Other providers sharing the same authorized official: TOBON, ELIAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$124.90 |
| 2019 |
771 |
$6K |
| 2020 |
475 |
$3K |
| 2024 |
1,863 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1330 |
|
576 |
552 |
$5K |
| D1206 |
Topical application of fluoride varnish |
559 |
536 |
$5K |
| D1120 |
Prophylaxis - child |
360 |
347 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
344 |
325 |
$3K |
| D0272 |
Bitewings - two radiographic images |
124 |
124 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
452 |
435 |
$2K |
| D0274 |
Bitewings - four radiographic images |
88 |
88 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
416 |
398 |
$1K |
| D1110 |
Prophylaxis - adult |
78 |
71 |
$859.16 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
30 |
$625.40 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$616.00 |
| D1351 |
Sealant - per tooth |
51 |
12 |
$375.24 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
17 |
12 |
$368.00 |
| D0603 |
|
12 |
12 |
$40.00 |