DEGOLLADO, AURORA
NPI: 1295021715
· BRISTOL, CT 06010
· Pediatric Dentist
· NPI assigned 06/22/2011
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
549 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0272 |
Bitewings - two radiographic images |
37 |
34 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
21 |
21 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
200 |
198 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
274 |
265 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$0.00 |