GOMEZ, SORAYA
NPI: 1427004456
· NEW CARLISLE, OH 45344
· General Practice Dentistry
· NPI assigned 05/25/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
671 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
221 |
61 |
$4K |
| D1206 |
Topical application of fluoride varnish |
180 |
180 |
$3K |
| D1120 |
Prophylaxis - child |
135 |
135 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
94 |
94 |
$2K |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$955.64 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$342.55 |