BRAUNTHAL, GONZALO
NPI: 1306144480
· OLMITO, TX 78575
· General Practice Dentistry
· NPI assigned 03/14/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
397 |
$8K |
| 2022 |
887 |
$18K |
| 2023 |
657 |
$11K |
| 2024 |
182 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
535 |
514 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
613 |
595 |
$8K |
| D1110 |
Prophylaxis - adult |
148 |
141 |
$7K |
| D1120 |
Prophylaxis - child |
162 |
159 |
$6K |
| D0274 |
Bitewings - four radiographic images |
159 |
150 |
$4K |
| D0602 |
|
492 |
477 |
$0.00 |
| D0603 |
|
14 |
14 |
$0.00 |