FIDELITO GABRIEL DMD PC
NPI: 1376797241
· DORCHESTER CENTER, MA 02124
· General Practice Dentistry
· NPI assigned 11/05/2008
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
284 |
$19K |
| 2019 |
206 |
$12K |
| 2021 |
298 |
$160.00 |
| 2022 |
135 |
$296.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
300 |
65 |
$22K |
| D2394 |
|
64 |
14 |
$6K |
| D0272 |
Bitewings - two radiographic images |
90 |
79 |
$2K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
39 |
36 |
$598.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
405 |
49 |
$0.00 |