MILGROM, GABRIEL
NPI: 1588248629
· MAPLEWOOD, NJ 07040
· Student in an Organized Health Care Education/Training Program
· NPI assigned 05/05/2021
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
442 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
83 |
83 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
90 |
90 |
$2K |
| D0274 |
Bitewings - four radiographic images |
88 |
88 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
91 |
91 |
$747.06 |
| D0230 |
Intraoral - periapical each additional radiographic image |
90 |
90 |
$472.37 |