GOFORTH DENTAL PARTNERSHIP LLP
NPI: 1497035703
· KYLE, TX 78640
· General Practice Dentistry
· NPI assigned 08/18/2011
Provider Details
| Authorized Official | ALAMO, JOSE (DENTIST PARTNER) |
| NPI Enumeration Date | 08/18/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
172 |
$2K |
| 2022 |
338 |
$4K |
| 2023 |
365 |
$5K |
| 2024 |
245 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
261 |
248 |
$7K |
| D1110 |
Prophylaxis - adult |
72 |
68 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
236 |
224 |
$3K |
| D0330 |
Panoramic radiographic image |
13 |
12 |
$552.25 |
| D0274 |
Bitewings - four radiographic images |
13 |
12 |
$304.32 |
| D1999 |
|
20 |
19 |
$0.00 |
| D0601 |
|
505 |
492 |
$0.00 |