GONZALEZ-NIETO, GUSTAVO
NPI: 1487811352
· TEAGUE, TX 75860
· General Practice Dentistry
· NPI assigned 05/19/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
921 |
$17K |
| 2024 |
71 |
$805.37 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
138 |
19 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
112 |
108 |
$3K |
| D1120 |
Prophylaxis - child |
86 |
82 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
182 |
171 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
156 |
148 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
139 |
128 |
$2K |
| D0274 |
Bitewings - four radiographic images |
33 |
31 |
$1K |
| D1110 |
Prophylaxis - adult |
20 |
18 |
$987.84 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$350.70 |
| D0603 |
|
24 |
24 |
$0.00 |
| D0602 |
|
87 |
82 |
$0.00 |