GUPTA, POONAM
NPI: 1477696953
· TEMPERANCE, MI 48182
· Dentist
· NPI assigned 02/15/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$263.54 |
| 2019 |
52 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
37 |
37 |
$963.54 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$480.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$325.00 |