LOPEZ, GILBERTO
NPI: 1245392653
· FORT SMITH, AR 72901
· General Practice Dentistry
· NPI assigned 12/14/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
234 |
$6K |
| 2019 |
472 |
$13K |
| 2020 |
242 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
228 |
204 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
298 |
261 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
350 |
303 |
$7K |
| D0272 |
Bitewings - two radiographic images |
72 |
72 |
$2K |