GORDON HIGHWAY DENTAL GROUP, LLC
NPI: 1215487467
· AUGUSTA, GA 30906
· General Practice Dentistry
· NPI assigned 10/12/2016
$368K
Total Medicaid Paid
Provider Details
| Authorized Official | ZOELLER, LINDA (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 10/12/2016 |
Related Entities
Other providers sharing the same authorized official: ZOELLER, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,543 |
$86K |
| 2019 |
3,686 |
$93K |
| 2020 |
1,856 |
$47K |
| 2021 |
1,551 |
$41K |
| 2022 |
1,078 |
$27K |
| 2023 |
1,408 |
$36K |
| 2024 |
1,398 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
4,054 |
4,051 |
$93K |
| D1120 |
Prophylaxis - child |
2,496 |
2,488 |
$83K |
| D1206 |
Topical application of fluoride varnish |
3,178 |
3,178 |
$52K |
| D1110 |
Prophylaxis - adult |
1,010 |
1,003 |
$48K |
| D0272 |
Bitewings - two radiographic images |
1,537 |
1,535 |
$29K |
| D0274 |
Bitewings - four radiographic images |
944 |
944 |
$27K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
405 |
384 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
270 |
269 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
477 |
474 |
$7K |
| D0330 |
Panoramic radiographic image |
96 |
96 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
37 |
37 |
$1K |
| D2140 |
|
16 |
14 |
$827.44 |