GUNDERSEN, BROC
NPI: 1407262215
· QUINCY, WA 98848
· General Practice Dentistry
· NPI assigned 07/02/2014
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
71 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0272 |
Bitewings - two radiographic images |
20 |
20 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
33 |
32 |
$0.00 |