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DORA ELENA GALLEGO DDS A PROFESSIONAL DENTAL CORPORATION
DORA ELENA GALLEGO DDS A PROFESSIONAL DENTAL CORPORATION
NPI: 1356936173
· POWAY, CA 92064
· Dental Clinic/Center
· NPI assigned 03/03/2021
Provider Details
| Authorized Official | GALLEGO, DORA (DENTIST) |
| NPI Enumeration Date | 03/03/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
173 |
$3K |
| 2022 |
337 |
$7K |
| 2023 |
151 |
$5K |
| 2024 |
69 |
$979.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
83 |
83 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
209 |
208 |
$3K |
| D0330 |
Panoramic radiographic image |
82 |
81 |
$2K |
| D9430 |
|
66 |
66 |
$2K |
| D0272 |
Bitewings - two radiographic images |
150 |
149 |
$2K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$1K |
| D1120 |
Prophylaxis - child |
16 |
16 |
$480.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$104.00 |
| D1310 |
|
49 |
49 |
$0.00 |
| D1330 |
|
48 |
48 |
$0.00 |