AMAYA GUTIERREZ, TARCISIO
NPI: 1235782095
· WASHINGTON, DC 20009
· General Practice Dentistry
· NPI assigned 07/22/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
547 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
187 |
153 |
$4K |
| D1120 |
Prophylaxis - child |
68 |
50 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
115 |
91 |
$2K |
| D0274 |
Bitewings - four radiographic images |
59 |
48 |
$2K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$656.07 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$172.14 |
| D2999 |
|
21 |
19 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
72 |
68 |
$0.00 |