GONZALEZ, JOSE
NPI: 1508430091
· OCONOMOWOC, WI 53066
· General Practice Dentistry
· NPI assigned 05/18/2021
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
116 |
$2K |
| 2022 |
1,208 |
$32K |
| 2023 |
294 |
$15K |
| 2024 |
153 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
366 |
352 |
$11K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
75 |
41 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
319 |
310 |
$9K |
| D1206 |
Topical application of fluoride varnish |
391 |
376 |
$7K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
105 |
87 |
$6K |
| D1351 |
Sealant - per tooth |
299 |
97 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
89 |
86 |
$2K |
| D0272 |
Bitewings - two radiographic images |
127 |
126 |
$2K |