GAMALIEL I. RODRIGUEZ, DDS, PC
NPI: 1558726489
· NORTH POLE, AK 99705
· General Practice Dentistry
· NPI assigned 12/18/2015
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18 |
$803.76 |
| 2019 |
96 |
$2K |
| 2020 |
77 |
$2K |
| 2021 |
95 |
$2K |
| 2022 |
207 |
$5K |
| 2023 |
12 |
$268.73 |
| 2024 |
129 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
117 |
103 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
248 |
208 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
134 |
114 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
72 |
68 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
31 |
29 |
$1K |
| D1110 |
Prophylaxis - adult |
14 |
12 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
12 |
$803.76 |