JOHN DEL GAISO, PC
NPI: 1679924468
· PHILADELPHIA, PA 19148
· Pediatric Dentist
· NPI assigned 06/23/2016
$244K
Total Medicaid Paid
Provider Details
| Authorized Official | DELGAISO, JOHN (OWNER) |
| NPI Enumeration Date | 06/23/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,277 |
$244K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
888 |
862 |
$208K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
75 |
75 |
$18K |
| D8660 |
|
295 |
294 |
$16K |
| D8680 |
|
19 |
19 |
$2K |