GULATI, DIVYA
NPI: 1326448804
· WAUCHULA, FL 33873
· Dentist
· NPI assigned 09/03/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
158 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
14 |
13 |
$274.40 |
| D0120 |
Periodic oral evaluation - established patient |
21 |
19 |
$216.30 |
| D0274 |
Bitewings - four radiographic images |
15 |
14 |
$190.56 |
| D0230 |
Intraoral - periapical each additional radiographic image |
57 |
30 |
$167.26 |
| D1206 |
Topical application of fluoride varnish |
20 |
18 |
$110.25 |
| D0220 |
Intraoral - periapical first radiographic image |
19 |
18 |
$100.48 |
| D0601 |
|
12 |
12 |
$0.00 |