GILLETTE DENTAL P.C.
NPI: 1417182155
· GILLETTE, WY 82716
· Dental Clinic/Center
· NPI assigned 05/26/2009
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
52 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
18 |
18 |
$630.00 |
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$576.00 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$560.00 |