GALLEGOS, SIDNEY
NPI: 1669548103
· FEDERAL WAY, WA 98003
· Pediatric Dentist
· NPI assigned 11/27/2006
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
835 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
37 |
19 |
$0.00 |
| D1110 |
Prophylaxis - adult |
53 |
21 |
$0.00 |
| D1120 |
Prophylaxis - child |
177 |
73 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
47 |
20 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
219 |
88 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
211 |
86 |
$0.00 |
| D0603 |
|
31 |
17 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
27 |
13 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
33 |
15 |
$0.00 |