PATRICIA GONZALEZ TEMPLETON D.D.S, LLC
NPI: 1619362209
· PEMBROKE PINES, FL 33024
· Pediatric Dentist
· NPI assigned 04/01/2015
$111K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
26 |
$1K |
| 2020 |
754 |
$11K |
| 2021 |
510 |
$5K |
| 2022 |
3,136 |
$43K |
| 2023 |
3,073 |
$36K |
| 2024 |
2,051 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,625 |
1,559 |
$74K |
| D0120 |
Periodic oral evaluation - established patient |
2,051 |
1,959 |
$15K |
| D1110 |
Prophylaxis - adult |
460 |
435 |
$12K |
| D0274 |
Bitewings - four radiographic images |
93 |
91 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,081 |
1,984 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
23 |
12 |
$1K |
| D1330 |
|
2,167 |
2,069 |
$1K |
| D0272 |
Bitewings - two radiographic images |
771 |
725 |
$519.18 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
106 |
100 |
$408.48 |
| D1999 |
|
48 |
46 |
$317.82 |
| D0240 |
|
66 |
40 |
$95.83 |
| D0220 |
Intraoral - periapical first radiographic image |
59 |
53 |
$41.94 |