GOMARA, DENISE
NPI: 1497887863
· AVON PARK, FL 33825
· General Practice Dentistry
· NPI assigned 03/12/2007
$120.84
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
48 |
$120.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$120.84 |
| D0220 |
Intraoral - periapical first radiographic image |
35 |
32 |
$0.00 |