NPI: 1700464955 · RIVERTON, UT 84096 · Pediatric Dentist · NPI assigned 03/30/2021
Authorized official GONZALES, EBONIE controls 15+ related entities in our dataset. Read more
| Authorized Official | GONZALES, EBONIE (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 03/30/2021 |
Other providers sharing the same authorized official: GONZALES, EBONIE
| Provider | City | State | Total Paid |
|---|---|---|---|
| TASKER HATCH ROWAN LLC | ALBUQUERQUE | NM | $25.09M |
| TASKER HATCH ROWAN LLC | LAS CRUCES | NM | $14.13M |
| TASKER HATCH ROWAN LLC | ALBUQUERQUE | NM | $9.83M |
| TASKER HATCH ROWAN LLC | LOS LUNAS | NM | $8.60M |
| TASKER HATCH ROWAN LLC | GALLUP | NM | $7.91M |
| FAMILIES FIRST PEDIATRICS | KAYSVILLE | UT | $7.73M |
| TASKER HATCH ROWAN LLC | DEMING | NM | $5.96M |
| TASKER HATCH ROWAN LLC | ALBUQUERQUE | NM | $4.80M |
| TASKER, HATCH, ROWAN, LLC | ALBUQUERQUE | NM | $4.47M |
| TASKER HATCH ROWAN LLC | ALBUQUERQUE | NM | $4.34M |
| TASKER HATCH ROWAN LLC | ALBUQUERQUE | NM | $2.40M |
| TASKER HATCH ROWAN LLC | ALBUQUERQUE | NM | $1.48M |
| SJT PEDIATRIC DENTISTRY LLC | ALBUQUERQUE | NM | $1.41M |
| HIGHBURY DENTAL MANAGEMENT, LLC | GILBERT | AZ | $144K |
| TASKER HATCH ROWAN LLC | LAS CRUCES | NM | $56K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,315 | $35K |
| 2022 | 3,870 | $99K |
| 2023 | 1,771 | $44K |
| 2024 | 1,004 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,064 | 1,058 | $36K |
| D0272 | Bitewings - two radiographic images | 1,012 | 1,002 | $32K |
| D0220 | Intraoral - periapical first radiographic image | 919 | 908 | $31K |
| D1120 | Prophylaxis - child | 1,566 | 1,556 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | 902 | 827 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 474 | 471 | $16K |
| D1206 | Topical application of fluoride varnish | 1,557 | 1,547 | $13K |
| D0274 | Bitewings - four radiographic images | 196 | 196 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 72 | 39 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 91 | 50 | $4K |
| D1351 | Sealant - per tooth | 82 | 14 | $3K |
| D0330 | Panoramic radiographic image | 25 | 25 | $1K |