GLUCKSTADT FAMILY DENTISTRY, PA
NPI: 1497009922
· MADISON, MS 39110
· Dentist
· NPI assigned 11/06/2012
Provider Details
Related Entities
Other providers sharing the same authorized official: HAUPTMAN, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
718 |
$2K |
| 2019 |
591 |
$15K |
| 2020 |
511 |
$7K |
| 2021 |
583 |
$14K |
| 2022 |
564 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
859 |
625 |
$17K |
| D1206 |
Topical application of fluoride varnish |
849 |
617 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
389 |
199 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
252 |
225 |
$6K |
| D0274 |
Bitewings - four radiographic images |
253 |
145 |
$3K |
| D1351 |
Sealant - per tooth |
109 |
12 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
63 |
57 |
$703.90 |
| D1999 |
|
193 |
169 |
$0.00 |