GAVLAK, JOLENE
NPI: 1629193743
· PHILIPSBURG, PA 16866
· General Practice Dentistry
· NPI assigned 03/20/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
440 |
$10K |
| 2024 |
266 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
250 |
249 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
264 |
263 |
$5K |
| D0272 |
Bitewings - two radiographic images |
116 |
115 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
31 |
30 |
$524.16 |
| D0220 |
Intraoral - periapical first radiographic image |
33 |
33 |
$235.35 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$183.35 |