ROTH, GARY
NPI: 1669555611
· FAIRFIELD, IA 52556
· General Practice Dentistry
· NPI assigned 10/23/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
566 |
$16K |
| 2019 |
821 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
647 |
635 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
289 |
274 |
$5K |
| D0274 |
Bitewings - four radiographic images |
169 |
165 |
$4K |
| D1206 |
Topical application of fluoride varnish |
163 |
158 |
$2K |
| D1120 |
Prophylaxis - child |
71 |
68 |
$2K |
| D0272 |
Bitewings - two radiographic images |
30 |
29 |
$512.51 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
16 |
$343.28 |