JOSEPH GONDOLY DDS PC
NPI: 1609439728
· CANTON, MI 48187
· Dental Clinic/Center
· NPI assigned 04/15/2019
Provider Details
| Authorized Official | GONDOLY, JOSEPH (OWNER) |
| NPI Enumeration Date | 04/15/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
24 |
$726.00 |
| 2022 |
44 |
$1K |
| 2023 |
14 |
$336.00 |
| 2024 |
13 |
$317.62 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
56 |
56 |
$1K |
| D1120 |
Prophylaxis - child |
25 |
25 |
$955.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$348.00 |