UNDERHILL, GARY
NPI: 1497747463
· ENTERPRISE, OR 97828
· General Practice Dentistry
· NPI assigned 08/16/2005
$149.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
58 |
$149.00 |
| 2020 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
19 |
19 |
$114.00 |
| D0140 |
Limited oral evaluation - problem focused |
19 |
18 |
$35.00 |
| D0330 |
Panoramic radiographic image |
20 |
20 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |