GILLES, AMANDA
NPI: 1295080422
· WAYLAND, IA 52654
· Dentist
· NPI assigned 07/13/2012
$156K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
892 |
$18K |
| 2019 |
1,279 |
$27K |
| 2020 |
980 |
$22K |
| 2021 |
1,223 |
$28K |
| 2022 |
1,294 |
$30K |
| 2023 |
771 |
$19K |
| 2024 |
453 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,598 |
2,552 |
$49K |
| D1110 |
Prophylaxis - adult |
1,150 |
1,130 |
$41K |
| D1120 |
Prophylaxis - child |
1,069 |
1,045 |
$32K |
| D1206 |
Topical application of fluoride varnish |
1,851 |
1,810 |
$30K |
| D0274 |
Bitewings - four radiographic images |
188 |
183 |
$4K |
| D0272 |
Bitewings - two radiographic images |
36 |
36 |
$791.51 |