DAWN M. GAFFNEY, DDS, LLC
NPI: 1558564450
· MOUNT VERNON, IA 52314
· General Practice Dentistry
· NPI assigned 06/07/2007
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | GAFFNEY, DAWN (BUSINESS OWNER) |
| NPI Enumeration Date | 06/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
676 |
$15K |
| 2019 |
717 |
$16K |
| 2020 |
827 |
$12K |
| 2021 |
1,282 |
$18K |
| 2022 |
1,364 |
$19K |
| 2023 |
1,076 |
$20K |
| 2024 |
742 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
1,990 |
1,947 |
$36K |
| D1110 |
Prophylaxis - adult |
848 |
839 |
$29K |
| D1206 |
Topical application of fluoride varnish |
1,450 |
1,409 |
$23K |
| D1120 |
Prophylaxis - child |
717 |
694 |
$21K |
| D0274 |
Bitewings - four radiographic images |
299 |
295 |
$7K |
| D1999 |
|
1,380 |
1,266 |
$0.00 |