GATEWAY ORAL HEALTH FOUNDATION
NPI: 1346394970
· OLIVETTE, MO 63132
· General Practice Dentistry
· NPI assigned 01/22/2007
Provider Details
| Authorized Official | DEVALL, BYRON (DENTIST) |
| NPI Enumeration Date | 01/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
46 |
$647.83 |
| 2019 |
258 |
$4K |
| 2020 |
68 |
$1K |
| 2022 |
100 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
38 |
37 |
$3K |
| D1120 |
Prophylaxis - child |
158 |
153 |
$3K |
| D1206 |
Topical application of fluoride varnish |
143 |
141 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
46 |
16 |
$1K |
| D0272 |
Bitewings - two radiographic images |
43 |
43 |
$502.52 |
| D0120 |
Periodic oral evaluation - established patient |
28 |
25 |
$442.18 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
16 |
$408.00 |