DR. RICARDO GAITAN
NPI: 1437326006
· STERLING, VA 20166
· Dental Clinic/Center
· NPI assigned 05/13/2008
Provider Details
Related Entities
Other providers sharing the same authorized official: GAITAN, RICARDO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
27 |
$532.86 |
| 2021 |
99 |
$3K |
| 2022 |
65 |
$3K |
| 2023 |
29 |
$393.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
86 |
80 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
68 |
64 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
54 |
53 |
$1K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$331.20 |