GUTENBERG DENTAL CORPORATION
NPI: 1457885394
· YUCCA VALLEY, CA 92284
· Pediatric Dentist
· NPI assigned 04/18/2017
$162K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: GUTENBERG, LAUREN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
152 |
$6K |
| 2021 |
640 |
$23K |
| 2022 |
883 |
$33K |
| 2023 |
1,607 |
$53K |
| 2024 |
1,495 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,032 |
1,032 |
$49K |
| D1310 |
|
1,001 |
1,001 |
$39K |
| D0120 |
Periodic oral evaluation - established patient |
383 |
383 |
$27K |
| D1206 |
Topical application of fluoride varnish |
1,009 |
1,009 |
$24K |
| D9993 |
|
231 |
231 |
$12K |
| D0603 |
|
563 |
562 |
$6K |
| D0145 |
Oral evaluation for a patient under three years of age |
26 |
26 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
440 |
190 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
14 |
12 |
$560.00 |
| D0602 |
|
27 |
27 |
$330.00 |
| D0272 |
Bitewings - two radiographic images |
27 |
27 |
$324.00 |
| D0601 |
|
24 |
24 |
$310.00 |