SMITH, GAVIN
NPI: 1326255993
· PLEASANT GROVE, UT 84062
· General Practice Dentistry
· NPI assigned 05/16/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$81.48 |
| 2020 |
16 |
$97.83 |
| 2021 |
295 |
$9K |
| 2022 |
212 |
$4K |
| 2023 |
116 |
$4K |
| 2024 |
54 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
89 |
84 |
$7K |
| D1120 |
Prophylaxis - child |
46 |
41 |
$5K |
| D0274 |
Bitewings - four radiographic images |
172 |
156 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
251 |
235 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
15 |
15 |
$1K |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$809.72 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$378.52 |
| D0272 |
Bitewings - two radiographic images |
25 |
24 |
$261.70 |
| D1206 |
Topical application of fluoride varnish |
93 |
80 |
$124.83 |