M G DENTAL ASSOCIATES
NPI: 1295992436
· LUFKIN, TX 75904
· General Practice Dentistry
· NPI assigned 05/16/2008
Provider Details
| Authorized Official | GOCHNOUR, MYRA (OWNER) |
| NPI Enumeration Date | 05/16/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
45 |
$0.00 |
| 2021 |
216 |
$3K |
| 2022 |
67 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
141 |
117 |
$2K |
| D1110 |
Prophylaxis - adult |
47 |
38 |
$1K |
| D0274 |
Bitewings - four radiographic images |
50 |
39 |
$760.57 |
| D0601 |
|
34 |
34 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
13 |
$0.00 |
| D0603 |
|
27 |
16 |
$0.00 |
| D1120 |
Prophylaxis - child |
14 |
12 |
$0.00 |