GORDON, KOBIE
NPI: 1316582877
· REVERE, MA 02151
· General Practice Dentistry
· NPI assigned 11/08/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
293 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
54 |
54 |
$2K |
| D1351 |
Sealant - per tooth |
62 |
18 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
54 |
54 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
44 |
44 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
25 |
25 |
$224.00 |
| D0272 |
Bitewings - two radiographic images |
17 |
17 |
$188.53 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
25 |
$165.25 |
| D0602 |
|
12 |
12 |
$0.00 |